Organization
WISCONSIN SURGICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADER ISA SALTI M.D. (PRESIDENT)
(262) 554-1919
Entity
Organization
Contact information
Practice address
6015 DURAND AVE, SUITE 500, RACINE, WI 53406-5089
(262) 554-1919
Mailing address
6015 DURAND AVE, SUITE 500, RACINE, WI 53406-5089
(262) 554-1919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32884400
—
WI
Enumeration date
07/16/2006
Last updated
08/22/2020
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