Lake Side Surgical Associates Sc in Sturgeon Bay - Specialist
Lake Side Surgical Associates Sc - NPI 1699779355
Lake Side Surgical Associates Sc is a Specialist in Sturgeon Bay, Wisconsin. Lake Side Surgical Associates Sc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lake Side Surgical Associates Sc is 1699779355. The last update date is 2020-08-22.
Lake Side Surgical Associates Sc's current location address is Po Box 678, Sturgeon Bay, Wisconsin. You can contact this provider via phone number 9207461060 and fax number 9207461072. The mailing address for Lake Side Surgical Associates Sc is Po Box 678, Sturgeon Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Side Surgical Associates Sc |
|---|---|
| Address | Po Box 678, Sturgeon Bay, Wisconsin |
| Phone Number | 9207461060 |
| Fax Number | 9207461072 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Herlache T Michael |
| Telephone Number | 9207461060 |
NPI Number Detail
| NPI Number | 1699779355 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 678 |
|---|---|
| City | Sturgeon Bay |
| State | Wisconsin (WI) |
| Post Code | 5423506780 |
| Phone Number | 9207461060 |
| Fax Number | 9207461072 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lake Side Surgical Associates Sc by the Centers for Medicare & Medicaid Services?
The Lake Side Surgical Associates Sc has been assigned the NPI (National Provider Identifier) 1699779355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Lake Side Surgical Associates Sc is physically located?
The Lake Side Surgical Associates Sc is physically situated at the following address: Po Box 678, Sturgeon Bay, WI, 5423506780.
What is the area of specialization for Lake Side Surgical Associates Sc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lake Side Surgical Associates Sc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Lake Side Surgical Associates Sc's 1699779355 issued?
The Lake Side Surgical Associates Sc's 1699779355 was issued on 2005-06-10.
As of what date was the information regarding Lake Side Surgical Associates Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Side Surgical Associates Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.