| NPI | 1912784281 |
|---|---|
| Doing Business As | ORTHOMIDWEST SURGERY CENTER BELOIT PPO |
| Entity Type | Organization |
| Authorized Contact | DANIEL TASSET CEO 913-647-6475 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-01-19 |