MEDICARE: AMBULATORY SURGERY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1043482417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBULATORY SURGERY, INC

Provider Business Mailing Address
First Line	:	10150 W. NATIONAL AVE.
Second Line	:	SUITE 350
City	:	MILWAUKEE
State	:	WI
Zip	:	53227
Country	:	US
Telephone Number	:	414-434-2434
Fax Number	:	414-328-1501

Provider Business Practice Location Address
First Line	:	10150 W NATIONAL AVE STE 350
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53227-2153
Country	:	US
Telephone Number	:	414-257-3322
Fax Number	:	414-257-3364

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN DAVID WEISSMAN
Credential	:	D.P.M.
Telephone Number	:	561-596-5647

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	09/07/2017

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Directions to “AMBULATORY SURGERY, INC ” Practice Location

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