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1568445062
EYE SURGERY & LASER CENTER OF WISCONSIN LLC
MILWAUKEE, WI
NPI
1568445062
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Entity Type
Organization
Authorized Contact
KELLY GUNNELSON
Administrator
414-773-4662
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2005-11-29
Last Update Date
2022-07-21
Business Address
EYE SURGERY & LASER CENTER OF WISCONSIN LLC
10200 W INNOVATION DR SUITE 700
MILWAUKEE, WI 53226-4825
Phone number: 414-302-9196
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Mailing Address
EYE SURGERY & LASER CENTER OF WISCONSIN LLC
10200 W INNOVATION DRIVE SUITE 700
MILWAUKEE, WI 53226-4825
Phone number: 414-302-9196
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