Organization
STEVENS POINT SURGICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK J BOEHM MD (PROVIDER)
(715) 342-7500
Entity
Organization
Contact information
Practice address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 342-7500
Mailing address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32886400
—
WI
Enumeration date
05/24/2007
Last updated
08/22/2020
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