Organization
BLUEMOUND SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G KORKOS MD (MEDICAL DIRECTOR)
(262) 970-5600
Entity
Organization
Contact information
Practice address
N4W22370 BLUEMOUND RD, WAUKESHA, WI 53186-1683
(262) 970-5600
(262) 970-5950
Mailing address
N4W22370 BLUEMOUND RD, WAUKESHA, WI 53186-1683
(262) 970-5600
(262) 970-5950
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
06/27/2012
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