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Organization

WISCONSIN CRH SURGEONS, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH STANDLEY MBA (MANAGER CONTRACTING)
(425) 284-7890
Entity
Organization

Contact information

Practice address
4040 LAKE WASHINGTON BLVD NE, #100, KIRKLAND, WA 98033-7874
(425) 284-7890
(425) 284-7896
Mailing address
9200 W LOOMIS RD, #106, FRANKLIN, WI 53132-8887
(425) 284-7890
(425) 284-7896

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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