Organization · Type 2 NPI
Lake Side Surgical Associates SC
Specialist · Sturgeon Bay, WI
NPI number
1699779355
Active
Practice location
1843 Michigan St
Sturgeon Bay, WI 54235-1007
Fax (920) 746-1072
Mailing address
PO Box 678
Sturgeon Bay, WI 54235-0678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6 other providers at this address
- John Herlache, MDSpecialist Sturgeon Bay, WI NPI 1801053319
- Kathryn Elizabeth Mehlberg, RNRegistered Nurse Sturgeon Bay, WI NPI 1588580260
- Mollie Pfeifer Petersen, PACPhysician Assistant Sturgeon Bay, WI NPI 1649554361
- Neil Walter Kleman, DOSurgery Physician Sturgeon Bay, WI NPI 1710338645
- Shannon James Gallagher, MD, MPHSurgery Physician Sturgeon Bay, WI NPI 1124523667
- Shaun J. Melarvie, MDSurgery Physician Sturgeon Bay, WI NPI 1902849763
About NPI 1699779355
Lake Side Surgical Associates SC's National Provider Identifier is 1699779355, issued on Jun 10, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sturgeon Bay, WI. The record was last updated on Aug 22, 2020.