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Organization

WOODLAND SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA SAUER (ADMINISTRATOR)
(920) 225-8008
Entity
Organization

Contact information

Practice address
2325 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-2885
Mailing address
2325 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-2885

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100005171
WI
01
490005491
RAIL ROAD MEDICARE
WI
Enumeration date
04/28/2006
Last updated
04/28/2013
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