Great Lakes Surgery Center LLC
Great Lakes Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6123 Green Bay Rd Ste 100Kenosha, WI 53142-2927
Phone: (262) 657-3668
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence PENDING (WI) |
|---|
Record details
| NPI number | 1700045168 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Thiery — Manager · (262) 657-3668 |
| NPI enumerated | June 2, 2008 |
| Last updated in NPPES | March 23, 2011 |
| Mailing address | Po Box 580772, Pleasant Prairie, WI 53158-8101 |
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Great Lakes Surgery LLC
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