| NPI | 1841306974 |
|---|---|
| Former Legal Business Name | NORTH CENTRAL WISCONSIN PLASTIC SURGERY SC |
| Entity Type | Organization |
| Authorized Contact | JILL E KINNEY-HORVAT Administrator 715-847-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |