Organization
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Active
Parent organization
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Authorized official
KIMBERLY GODDARD COO (CHIEF OPERATING OFFICER)
(715) 261-8557
Entity
Organization
Contact information
Practice address
3301 STANLEY ST, STEVENS POINT, WI 54481-1323
(715) 298-5500
Mailing address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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