Organization · Type 2 NPI
Green Bay Road Medical Services Inc
Ambulatory Surgical Clinic/Center · Kenosha, WI
NPI number
1104131960
Active
Practice location
6127 Green Bay Road, Suite 600
Kenosha, WI 53142-2930
Fax (262) 653-9229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1104131960
Green Bay Road Medical Services Inc's National Provider Identifier is 1104131960, issued on Aug 17, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Kenosha, WI. The record was last updated on Aug 17, 2010.