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Organization

GENEVA SURGICAL SUITES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN ROEKER (BUSINESS ADMINISTRATOR)
(262) 295-1216
Entity
Organization

Contact information

Practice address
119 ELIZABETH LANE, GENOA CITY, WI 53128-2124
(262) 295-1213
(262) 295-1221
Mailing address
119 ELIZABETH LN, GENOA CITY, WI 53128-2124
(262) 295-1213
(262) 295-1221

Taxonomy

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

Other

Enumeration date
02/22/2017
Last updated
05/12/2020
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