Healthcare Provider Details

I. General information

NPI: 1043482417
Provider Name (Legal Business Name): AMBULATORY SURGERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 09/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10150 W NATIONAL AVE STE 350
MILWAUKEE WI
53227-2153
US

IV. Provider business mailing address

10150 W. NATIONAL AVE. SUITE 350
MILWAUKEE WI
53227
US

V. Phone/Fax

Practice location:
  • Phone: 414-257-3322
  • Fax: 414-257-3364
Mailing address:
  • Phone: 414-434-2434
  • Fax: 414-328-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN DAVID WEISSMAN
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 561-596-5647