Organization
ECRK SPECIALIZED TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDER PAUL SINGH MD (OWNER)
(262) 658-1937
Entity
Organization
Contact information
Practice address
9916 75TH ST, KENOSHA, WI 53142-7583
(262) 658-1937
Mailing address
9916 75TH ST, KENOSHA, WI 53142-7583
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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