Organization
APEX ASC KENOSHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PEYROUX (MANAGING PARTNER)
(678) 800-5005
Entity
Organization
Contact information
Practice address
10105 74TH ST STE 102, KENOSHA, WI 53142-7530
(678) 800-5005
Mailing address
10105 74TH ST STE 102, KENOSHA, WI 53142-7530
(678) 800-5005
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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