Organization
FALL GENERAL SURGERY LLC
Active
Other names
Fall General Surgery, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A FALL MD (OWNER MEMBER)
(715) 685-0656
Entity
Organization
Contact information
Practice address
216 3RD ST W, SUITE 201, ASHLAND, WI 54806-1602
(715) 685-0656
Mailing address
216 3RD ST W, SUITE 201, ASHLAND, WI 54806-1602
(715) 685-0656
(715) 685-9326
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34121
WI
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21280100
—
WI
01
—
C05818
MEDICARE PTAN
MN
01
—
DA5810
RAILROAD MEDICARE
WI
Enumeration date
06/17/2006
Last updated
08/27/2025
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