Organization
ADVANCED SURGERY OF BURLINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KOKAT D.P.M. (DIRECTOR)
(262) 763-9007
Entity
Organization
Contact information
Practice address
1050 S MILWAUKEE AVENUE STE 102, BURLINGTON, WI 53105-1380
(262) 763-9007
(262) 758-6134
Mailing address
1050 S MILWAUKEE AVENUE, STE 102, BURLINGTON, WI 53105-1380
(262) 758-6155
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WI
Other
Enumeration date
09/23/2010
Last updated
12/20/2019
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