GREAT LAKES PLASTIC SURGERY SC
Organization (NPI-2)
Active
Plastic Surgery
Provider Information
- NPI Number
1346213980- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1526 N TAYLOR DR, SHEBOYGAN, WI, 530811927
- Phone
- (920) 803-1598
- Fax
- (920) 803-1599
Specialties & Taxonomies
Plastic Surgery
Primary License: WI #39578020