Organization
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LLC
Active
Other names
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFP)
(414) 465-3736
Entity
Organization
Contact information
Practice address
10180 WASHINGTON AVE STE 200, MOUNT PLEASANT, WI 53177-1604
(262) 687-7590
Mailing address
10180 WASHINGTON AVE STE 200, MOUNT PLEASANT, WI 53177-1604
(262) 687-7590
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
12/30/2024
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