Organization
MADISON SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL LEIN (CEO)
(414) 531-4327
Entity
Organization
Contact information
Practice address
34 SCHROEDER CT STE 100, MADISON, WI 53711-2528
(608) 291-4866
Mailing address
2500 W LAYTON AVE STE 200, MILWAUKEE, WI 53221-5434
(262) 297-7246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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