Organization
SHEBOYGAN SURGICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUANN MEYER (ADMINISTRATOR)
(920) 452-0446
Entity
Organization
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-0446
(920) 458-3163
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-0446
(920) 458-3163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32664000
—
WI
Enumeration date
03/21/2007
Last updated
09/19/2007
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