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General NPI Number Information
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NPI Number | 1225942592
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Entity Type | Organization
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Legal Business Name | WISCONSIN INSTITUTE OF AMBULATORY SURGERY
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 4100 N LIGHTNING DR
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City | APPLETON
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State | WI
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Zip | 54913-6735
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Country | US
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Telephone | 920-380-9890
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Fax | 920-733-5610
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Provider Business Mailing Address
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Address Line | 4100 N LIGHTNING DR
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City | APPLETON
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State | WI
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Zip | 54913-6735
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Country | US
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Telephone | 920-380-9890
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Fax | 920-733-5610
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Authorized Official
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Title or Position | OWNER
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Name | TINA SAUERHAMMER
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Credential |
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Telephone | 920-380-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | NULL
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