OrganizationActive
Green Bay Road Medical Services Inc
NPI 1104131960 · Ambulatory Surgical Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1104131960
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- John Matteucci, Facility Director
Practice location
6127 Green Bay Road
Suite 600
Kenosha, WI 53142-2930
Phone: (262) 653-9221
Fax: (262) 653-9229
Mailing address
6127 Green Bay Road
Kenosha, WI 53142-2930
Registry dates
- Enumerated
- 2010-08-17
- Last updated
- 2010-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.