Organization
RENAISSANCE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KRAUSE (ADMINISTRATOR)
(920) 203-6263
Entity
Organization
Contact information
Practice address
2400 WITZEL AVE, SUITE C, OSHKOSH, WI 54904-8369
(920) 203-6263
Mailing address
2400 WITZEL AVE, SUITE C, OSHKOSH, WI 54904-8369
(920) 203-6263
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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