SOUTHERN LAKES ENDOSCOPY LLC

MUKWONAGO, WI
NPI1851887715
Entity TypeOrganization
Authorized ContactROBERT KWECH
Executive Director
414-908-6507
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2018-07-03
Last Update Date2020-05-12
Business Address
SOUTHERN LAKES ENDOSCOPY LLC
240 MAPLE AVE STE 2220
MUKWONAGO, WI 53149-8475
Phone number: 414-908-6507
Mailing Address
SOUTHERN LAKES ENDOSCOPY LLC
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215-3689
Phone number: 414-908-6507
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