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1619611142
SOUTHEAST WISCONSIN SURGERY CENTER LLC
RACINE, WI
NPI
1619611142
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Entity Type
Organization
Authorized Contact
CHELSIE LISLE
Co Owner
402-631-8892
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2022-04-21
Last Update Date
2023-08-28
Business Address
SOUTHEAST WISCONSIN SURGERY CENTER LLC
3801 WASHINGTON AVE
RACINE, WI 53405-2853
Phone number: 414-949-1938
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Mailing Address
SOUTHEAST WISCONSIN SURGERY CENTER LLC
3801 WASHINGTON AVE
RACINE, WI 53405-2853
Phone number: 402-631-8892
Copy
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