Organization
PREMIER SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A FAIRCHILD MD (MEMBER)
(715) 544-1775
Entity
Organization
Contact information
Practice address
200 DIVISION ST STE H, STEVENS POINT, WI 54481-1843
(715) 544-1775
(715) 544-1769
Mailing address
520 VINCENT ST, STEVENS POINT, WI 54481-1848
(715) 544-1775
(715) 544-1769
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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