Organization
AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC LARSON M.D. (MEDICAL DIRECTOR)
(920) 236-3550
Entity
Organization
Contact information
Practice address
2120 S WASHBURN ST, OSHKOSH, WI 54904
(920) 236-3550
(920) 238-3169
Mailing address
2120 S WASHBURN ST, OSHKOSH, WI 54904
(920) 236-3550
(920) 238-3169
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41911700
—
WI
01
—
NPI 1275513467
ERIC M LARSON
—
01
—
NPI 1437244621
BRADLEY N LEMKE
—
01
—
NPI 1619957230
STEPHEN J MERFELD
—
Enumeration date
07/25/2006
Last updated
02/09/2026
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