Organization · Type 2 NPI
Pine Ridge Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Wausau, WI
NPI number
1669787958
Active
Practice location
2500 Pine Ridge Blvd
Wausau, WI 54401-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1669787958
Pine Ridge Surgery Center, LLC's National Provider Identifier is 1669787958, issued on Aug 11, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Wausau, WI. The record was last updated on Aug 11, 2010.