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Organization
THE PLASTIC SURGERY GROUP SC
Active
Organization
THE PLASTIC SURGERY GROUP SC
Active
Other names
North Central Wisconsin Plastic Surgery SC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL E KINNEY-HORVAT (ADMINISTRATOR)
(715) 847-0444
Entity
Organization
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 205, WAUSAU, WI 54401
(715) 847-0444
(715) 847-0445
Mailing address
425 PINE RIDGE BLVD, SUITE 205, WAUSAU, WI 54401
(715) 847-0444
(715) 847-0445
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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