| NPI | 1457305153 |
|---|---|
| Doing Business As | ST. LUKE'S PAVILION SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ERIC LOHN President, CEO 218-249-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-12-02 |