Organization
SURGICAL ASSOCIATES OF WISCONSIN RAPIDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJORIE S MILLER M.D. (PRESIDENT)
(715) 422-7771
Entity
Organization
Contact information
Practice address
420 DEWEY ST, SUITE 2, WISCONSIN RAPIDS, WI 54494-4714
(715) 422-7771
(715) 424-4404
Mailing address
420 DEWEY ST, SUITE 2, WISCONSIN RAPIDS, WI 54494-4714
(715) 422-7771
(715) 424-4404
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21294100
—
WI
Enumeration date
07/20/2006
Last updated
08/15/2014
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