Lake Country Plastic and Hand Surgery Sc

NPI #1205943768 in Waukesha, Wisconsin

Provider Information

NPI Number
1205943768
Entity Type
Organization
Organization Name
Lake Country Plastic and Hand Surgery Sc
Primary Specialty
Plastic Surgery
Enumeration Date
Aug 23, 2006
Last Updated
Apr 30, 2019

Practice Location

Address
N19W24075 RIVERWOOD DR STE 228
ZIP Code
53188-1170
Phone
(262) 523-1200

Authorized Official

Name
TRACY E MCCALL
Title
SOLE OWNER
Phone
(262) 523-1200

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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