# PARAGON SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1811926702
- **Authorized official:** DR. ANDREW C CAMPBELL M.D. (MANAGER)
- **Authorized official phone:** (920) 457-1600

## Contact information

- **Practice address:** 1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
- **Practice address phone:** (920) 457-1600
- **Practice address fax:** (920) 457-3799
- **Mailing address:** 1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
- **Mailing address phone:** (920) 457-1600
- **Mailing address fax:** (920) 457-3799

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 12/22/2010