Organization
WEST ALLIS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA ROBERTS (CEO)
(414) 296-0039
Entity
Organization
Contact information
Practice address
10150 W NATIONAL AVE STE 350, WEST ALLIS, WI 53227-2153
(414) 296-0039
Mailing address
10150 W NATIONAL AVE STE 350, WEST ALLIS, WI 53227-2153
(414) 877-6412
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
01/26/2021
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