| NPI | 1225153620 |
|---|---|
| Former Legal Business Name | SOUTHEAST WISCONSIN SURGICAL SUITES SC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R CERNAK Owner 262-697-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WI 52D1008619) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-07-07 |