Organization
SHEBOYGAN MEDICAL CENTER, LLC
Active
Parent organization
APM WISCONSIN MSO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APM WISCONSIN MSO, LLC
Authorized official
VISHAL LAL (AUTHORIZED REPRESENTATIVE)
(414) 325-7246
Entity
Organization
Contact information
Practice address
2124 KOHLER MEMORIAL DR, SUITE 100, SHEBOYGAN, WI 53081-3169
(414) 325-7246
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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