Organization
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER FLATTER MD (MEDICAL DIRECTOR)
(209) 603-4955
Entity
Organization
Contact information
Practice address
800 N 1ST ST, SUITE 100, WAUSAU, WI 54403-4754
(715) 261-8500
Mailing address
800 N 1ST ST, SUITE 100, WAUSAU, WI 54403-4754
(715) 298-5500
(715) 298-5506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12972
PTAN
WI
Enumeration date
08/01/2012
Last updated
12/28/2025
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