Organization
GREATER MILWAUKEE SURGICAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MALECKI (MANAGER)
(414) 384-8388
Entity
Organization
Contact information
Practice address
3033 S 27TH ST STE 200, MILWAUKEE, WI 53215-3600
(414) 384-8388
Mailing address
3033 S 27TH ST STE 200, MILWAUKEE, WI 53215-3600
(414) 384-8388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19125
WI
174400000X
Specialist
Primary
21339
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32885700
—
WI
Enumeration date
02/21/2007
Last updated
08/22/2020
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