Organization
SOUTHEAST SURGICAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE L HUNT (BILLING COORDINATOR)
(414) 649-3478
Entity
Organization
Contact information
Practice address
2801 W KK RIVER PKWY, SUITE 330, MILWAUKEE, WI 53215-3669
(414) 649-3240
(414) 649-3244
Mailing address
2801 W KK RIVER PKWY, SUITE 330, MILWAUKEE, WI 53215-3669
(414) 649-3240
(414) 649-3244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32755800
—
WI
Enumeration date
03/10/2006
Last updated
08/22/2020
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