# FSC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811289218
- **Authorized official:** MARK LLOYD WISNIEWSKI MD (CO-OWNER)
- **Authorized official phone:** (307) 670-3500

## Contact information

- **Practice address:** 1503 CRESSETT ST, GILLETTE, WY 82716-3339
- **Practice address phone:** (307) 670-3500
- **Mailing address:** PO BOX 962, GILLETTE, WY 82717-0962
- **Mailing address phone:** (307) 670-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 10312 | WY | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 05/04/2011