Organization
THE PLASTIC SURGERY GROUP SC
Active
Other names
North Central Wisconsin Plastic Surgery SC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL E KINNEY-HORVAT (ADMINISTRATOR)
(715) 847-0444
Entity
Organization
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 205, WAUSAU, WI 54401
(715) 847-0444
(715) 847-0445
Mailing address
425 PINE RIDGE BLVD, SUITE 205, WAUSAU, WI 54401
(715) 847-0444
(715) 847-0445
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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