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Advanced Surgical and Restorative Care LLC — NPI 1194466235, Altoona, WI | NPI Central

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NPI 1194466235

OrganizationActive

Advanced Surgical and Restorative Care LLC

NPI 1194466235 · Ambulatory Surgical Clinic/Center · Altoona, WI

Provider details

NPI number: 1194466235
Entity type: Organization
Primary specialty: Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Emily Moses, Chief Nursing Officer(715) 930-1937

Specialties & taxonomies

Ambulatory Surgical Clinic/CenterPrimary261QA1903X
Ambulatory Health Care Facilities

Practice location

1470 Rivers Edge Trl Ste B

Altoona, WI 54720-2755

Phone: (715) 379-8718

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

1470 Rivers Edge Trl Ste B

Altoona, WI 54720-2755

Other names (DBA / former)

Doing business as: Defatta Ent & Plastics Surgery, Sc

Registry dates

Enumerated: 2022-04-05
Last updated: 2025-09-02
Certified: 2024-08-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.