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

Green Bay Road Medical Services Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1104131960

Green Bay Road Medical Services Inc is an Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6127 Green Bay Rd Ste 600
Kenosha, WI 53142-2930
Phone: (262) 653-9221
Fax: (262) 653-9229
Show map & directions

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 number1104131960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Matteucci — Facility Director · (262) 653-9221
NPI enumeratedAugust 17, 2010
Last updated in NPPESAugust 17, 2010
Mailing address6127 Green Bay Road, Suite 600, Kenosha, WI 53142-2930

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