| NPI | 1093173791 |
|---|---|
| Doing Business As | HSHS SCO REGIONAL SURGERY CENTER GREEN BAY |
| Entity Type | Organization |
| Authorized Contact | DANIEL DEGROOT COO 920-846-4581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2021-12-23 |