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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREAT LAKES SURGERY LLC

Active Organization

GREAT LAKES SURGERY LLC is a Ambulatory Surgical Center organization located in KENOSHA, Wisconsin. NPI 1629518006 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Surgical Center · KENOSHA, WI

Registration Details

NPI Number
1629518006
Provider Type
Organization
NPI Issued
Mar 3, 2017 (9.4587733638602 yrs)
Last Updated
Mar 3, 2017

Practice Information

Address
6123 GREEN BAY RD STE 101
KENOSHA, WI, 531422927
Browse WI providers · Browse ZIP 53142
Phone
2626570224
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.