Organization
VASCARE - MAYFAIR, LLC
Active
Other names
Milwaukee Children's Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
805 N MAYFAIR RD, WAUWATOSA, WI 53226-4241
(414) 567-0662
(414) 249-6075
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2011
Last updated
02/12/2025
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