Ec Laser and Surgery Institute of Wi, LLC

NPI #1730909664 in Stevens Point, Wisconsin

Provider Information

NPI Number
1730909664
Entity Type
Organization
Organization Name
Ec Laser and Surgery Institute of Wi, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 15, 2024
Last Updated
Oct 15, 2024

Practice Location

Address
3301 STANLEY ST
ZIP Code
54481-1323
Phone
(715) 298-5500

Authorized Official

Name
KIMBERLY GODDARD, COO
Title
CHIEF OPERATING OFFICER
Phone
(715) 261-8557

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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