Organization
WAUKESHA MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WILLIAM CARDONE (MEDICAL DIRECTOR)
(262) 349-9371
Entity
Organization
Contact information
Practice address
1239 CORPORATE CENTER DR, OCONOMOWOC, WI 53066-4898
(262) 569-8346
Mailing address
N4W22370 BLUEMOUND RD, SUITE 201, WAUKESHA, WI 53186-1683
(262) 349-9371
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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