Organization
UPPER MISSISSIPPI SURGERY CENTER, LLC
Active
Parent organization
UPPER MISSISSIPPI SURGERY CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPPER MISSISSIPPI SURGERY CENTER, LLC
Authorized official
SUSAN MARIE GOURLEY (ADMINISTRATOR)
(608) 473-1700
Entity
Organization
Contact information
Practice address
454 BADGER RD, HAZEL GREEN, WI 53811-9787
(608) 608-2576
(605) 274-6186
Mailing address
454 BADGER RD, HAZEL GREEN, WI 53811-9787
(608) 608-2576
(605) 274-6186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
Update your record
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