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Organization

SURGICENTER OF RACINE LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS J KONTRA MD (DIRECTOR)
(262) 886-9100
Entity
Organization

Contact information

Practice address
5802 WASHINGTON AVE, STE 204, RACINE, WI 53406-4050
(261) 886-9100
(261) 886-9130
Mailing address
5802 WASHINGTON AVE, STE 204, RACINE, WI 53406-4050
(261) 886-9100
(261) 886-9130

Taxonomy

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

Other

Enumeration date
10/27/2005
Last updated
11/08/2016
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