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Organization

SURGI PLUS CLINIC SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PARMOD KUMAR MD (OWNER)
(414) 529-1944
Entity
Organization

Contact information

Practice address
9200 W LOOMIS RD, SUITE 106, FRANKLIN, WI 53132-8887
(414) 529-1944
(414) 529-2065
Mailing address
9200 W LOOMIS RD, SUITE 106, FRANKLIN, WI 53132-8887
(414) 529-1944
(414) 529-2065

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21755
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21303700
WI
05
30396300
WI
01
DE3415
RR MEDICARE
Enumeration date
07/06/2006
Last updated
10/23/2007
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