| Bluemound Surgery Center Ltd | |
|
N4w22370 Bluemound Rd Waukesha WI 53186-1683 | |
| (262) 970-5600 | |
| (262) 970-5950 |
| Full Name | Bluemound Surgery Center Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | N4w22370 Bluemound Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Thomas G Korkos (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2629705600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluemound Surgery Center Ltd N4w22370 Bluemound Rd Waukesha WI 53186-1683 Ph: (262) 970-5600 | Bluemound Surgery Center Ltd N4w22370 Bluemound Rd Waukesha WI 53186-1683 Ph: (262) 970-5600 |
| NPI Number | 1710107743 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 06/27/2012 |
| Medicare PECOS PAC ID | 5799941670 |
|---|---|
| Medicare Enrollment ID | O20120720000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710107743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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