Pharos Enterprises of Wisconsin, LLC
NPI #1619541661 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1619541661
- Entity Type
- Organization
- Organization Name
- Pharos Enterprises of Wisconsin, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 14, 2021
- Last Updated
- Jun 14, 2021
Practice Location
- Address
- 2356 S 102ND ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2104
- Phone
- (262) 689-8710
Authorized Official
- Name
- NICHOLAS FRAME, MD
- Title
- PRESIDENT
- Phone
- (608) 469-5536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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