Organization
RACINE DIGESTIVE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JO BURNS (DIRECTOR REVENUE CYCLE MANAGEMENT)
(262) 970-7825
Entity
Organization
Contact information
Practice address
10340 WASHINGTON AVE STE 100, STURTEVANT, WI 53177-1607
(414) 908-6500
(414) 908-6565
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6506
(414) 908-6510
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
01/08/2025
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