Organization
PHAROS ENTERPRISES OF WISCONSIN, LLC
Active
Other names
Envision Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FRAME MD (PRESIDENT)
(608) 469-5536
Entity
Organization
Contact information
Practice address
2356 S 102ND ST, WEST ALLIS, WI 53227-2104
(262) 689-8710
Mailing address
2356 S 102ND ST, WEST ALLIS, WI 53227-2104
(262) 689-8710
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
06/14/2021
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