Organization
INDEPENDENT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HARVEY (CEO)
(715) 797-8310
Entity
Organization
Contact information
Practice address
2751 COMMERCIAL BLVD, SUITE 7, CHIPPEWA FALLS, WI 54729-5079
(715) 797-8310
Mailing address
1115 E LOWES CREEK RD, EAU CLAIRE, WI 54701-7439
(715) 797-8310
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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