Organization
APPLETON SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROY JOSEPH (OWNER)
(314) 550-0188
Entity
Organization
Contact information
Practice address
1616 N CASALOMA DR # 200, APPLETON, WI 54913-8245
(314) 550-0188
Mailing address
5007 S HOWELL AVE # 125, MILWAUKEE, WI 53207-6157
(314) 550-0188
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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