Organization
UPPER MISSISSIPPI SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GOURLEY RN (ADMINISTRATOR)
(608) 473-1700
Entity
Organization
Contact information
Practice address
454 BADGER ROAD, HAZEL GREEN, WI 53811
(608) 473-1700
Mailing address
454 BADGER ROAD, HAZEL GREEN, WI 53811
(608) 473-1700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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