Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Surgical and Restorative Care LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1194466235

Advanced Surgical and Restorative Care LLC is an Ambulatory Surgical Clinic/Center in Altoona, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1470 Rivers Edge Trl Ste B
Altoona, WI 54720-2755
Phone: (715) 379-8718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1194466235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Moses — Chief Nursing Officer · (715) 930-1937
Other names Defatta Ent & Plastics Surgery, Sc
NPI enumeratedApril 5, 2022
Last updated in NPPESSeptember 2, 2025
Certification dateAugust 15, 2024
Mailing address1470 Rivers Edge Trl Ste B, Altoona, WI 54720-2755

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