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Organization

EYE SURGERY ASSOCIATES, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY KWASNY M.D. (PRESIDENT)
(414) 259-1022
Entity
Organization

Contact information

Practice address
2300 N MAYFAIR RD, MILWAUKEE, WI 53226-1505
(414) 639-0188
Mailing address
PO BOX 5166, ELM GROVE, WI 53122-5166
(414) 639-0188

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17590
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30939400
WI
Enumeration date
08/27/2006
Last updated
05/15/2012
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