Organization
CEDARCREST SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RENEE FLACH (EXECUTIVE DIRECTOR)
(715) 520-3877
Entity
Organization
Contact information
Practice address
2200 CEDAR CREST DR STE B, RICE LAKE, WI 54868-5500
(715) 537-4930
Mailing address
2200 CEDAR CREST DR STE B, RICE LAKE, WI 54868-5500
(715) 537-4930
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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