KENOSHA SURGICENTER LLC

KENOSHA, WI
NPI1760101992
Entity TypeOrganization
Authorized ContactKEVIN EUGENE HOOKER
Hr
262-297-7246
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2022-08-23
Last Update Date2022-08-23
Business Address
KENOSHA SURGICENTER LLC
10105 74TH ST STE 102
KENOSHA, WI 53142-7530
Phone number: 262-297-7246
Mailing Address
KENOSHA SURGICENTER LLC
2500 W LAYTON AVE STE 120
MILWAUKEE, WI 53221-5400
Phone number: 262-297-7246