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Organization

SURGICENTER OF GREATER MILWAUKEE, LLC

Active
Other names
Surgicenter of Greater Milwaukee, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC CADIEUX (CORPORATE VP AND CFO)
(414) 266-6226
Entity
Organization

Contact information

Practice address
3223 S 103RD ST, MILWAUKEE, WI 53227-4103
(414) 328-5800
(414) 328-5805
Mailing address
PO BOX 88842, MILWAUKEE, WI 53288-0001
(414) 328-5800
(414) 328-5805

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41906900
WI
Enumeration date
09/14/2006
Last updated
03/29/2016
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