Organization
SURGI CENTER OF GREATER MADISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VISHAL LAL (EXECUTIVE DIRECTOR)
(414) 325-3737
Entity
Organization
Contact information
Practice address
34 SCHROEDER CT, STE 100, MADISON, WI 53711-2525
(414) 325-7246
(414) 325-3701
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
(414) 325-3725
(414) 325-3701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41914500
—
WI
Enumeration date
07/01/2006
Last updated
10/24/2016
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