Organization
WAUKESHA SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE BEWER RN (ADMINISTRATIVE OFFICER)
(262) 297-7246
Entity
Organization
Contact information
Practice address
813 W MORELAND BLVD, WAUKESHA, WI 53188-2963
(262) 297-7246
Mailing address
813 W MORELAND BLVD, WAUKESHA, WI 53188-2963
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/22/2020
Last updated
05/04/2021
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