Premier Surgical Of Wisconsin Sc in Manitowoc - Surgery
Premier Surgical Of Wisconsin Sc - NPI 1679671408
Premier Surgical Of Wisconsin Sc is a Surgery in Manitowoc, Wisconsin. Premier Surgical Of Wisconsin Sc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Premier Surgical Of Wisconsin Sc is 1679671408. The last update date is 2023-08-08.
Premier Surgical Of Wisconsin Sc's current location address is 940 Maritime Dr, Manitowoc, Wisconsin. You can contact this provider via phone number 9206867900 and fax number 9206867984. The mailing address for Premier Surgical Of Wisconsin Sc is 940 Maritime Dr, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Surgical Of Wisconsin Sc |
|---|---|
| Address | 940 Maritime Dr, Manitowoc, Wisconsin |
| Phone Number | 9206867900 |
| Fax Number | 9206867984 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ridl A Kimberly |
| Credentials | MD |
| Telephone Number | 9206867900 |
NPI Number Detail
| NPI Number | 1679671408 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
| Address | 940 Maritime Dr |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542202960 |
| Phone Number | 9206867900 |
| Fax Number | 9206867984 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 19677020 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DG9827 | WI | RAILROAD MEDICARE | |
| 31123900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Premier Surgical Of Wisconsin Sc by the Centers for Medicare & Medicaid Services?
The Premier Surgical Of Wisconsin Sc has been assigned the NPI (National Provider Identifier) 1679671408. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Premier Surgical Of Wisconsin Sc's physical address?
The Premier Surgical Of Wisconsin Sc is physically located at 940 Maritime Dr, in the city of Manitowoc, WI, with the postal code 542202960.
What is the Premier Surgical Of Wisconsin Sc's area of specialization and corresponding taxonomy classification?
The Premier Surgical Of Wisconsin Sc's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
When did the Premier Surgical Of Wisconsin Sc receive its 1679671408?
The Premier Surgical Of Wisconsin Sc was issued its 1679671408 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Premier Surgical Of Wisconsin Sc last refreshed?
The information related to the Premier Surgical Of Wisconsin Sc, including its address, specialty, and other relevant details, was last updated on 2023-08-08.