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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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

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.