Organization
PINE RIDGE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER REISING M.D. (PRESIDENT)
(715) 847-2022
Entity
Organization
Contact information
Practice address
2500 PINE RIDGE BLVD, WAUSAU, WI 54401-0000
(970) 556-8744
Mailing address
2500 PINE RIDGE BLVD, WAUSAU, WI 54401-0000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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