| NPI | 1568992337 |
|---|---|
| Doing Business As | ST. NICHOLAS HOSPITAL SHEBOYGAN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN SELLE CEO 920-459-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |