Organization
GREAT LAKES SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L BOSTANCHE DPM (DIRECTOR)
(262) 657-0224
Entity
Organization
Contact information
Practice address
6123 GREEN BAY RD STE 101, KENOSHA, WI 53142-2927
(262) 657-0224
Mailing address
6123 GREEN BAY RD, SUITE 100, KENOSHA, WI 53142-2927
(262) 657-0224
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us