OrganizationActive
East Mequon Surgery Center LLC
NPI 1346235058 · Ambulatory Surgical Clinic/Center · Mequon, WI
Provider details
- NPI number
- 1346235058
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kara Richardson, Assistant Treasurer(704) 631-0450
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12203 Corporate Pkwy
Mequon, WI 53092-3388
Phone: (262) 387-8383
Fax: (262) 387-8384
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 909981
Milwaukee, WI 53209-8981
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.