Southeast Wisconsin Ambulatory Surgical Center S C
Southeast Wisconsin Ambulatory Surgical Center S C is an Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
10105 74th St Ste 102Kenosha, WI 53142-7519
Phone: (262) 697-4301
Fax: (262) 925-8409
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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 · Licence 52D1008619 (WI) |
|---|
Record details
| NPI number | 1225153620 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Cernak — Owner · (262) 697-4301 |
| Other names | Southeast Wisconsin Surgical Suites Sc |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | July 7, 2014 |
| Mailing address | 10105 74th St, Suite 102, Kenosha, WI 53142-7519 |
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