OrganizationActive
Lake Side Surgical Associates Sc
NPI 1699779355 · Specialist · Sturgeon Bay, WI
Provider details
- NPI number
- 1699779355
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Herlache, Administrator(920) 746-1060
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1843 Michigan St
Sturgeon Bay, WI 54235-1007
Phone: (920) 746-1060
Fax: (920) 746-1072
Street-level locationGet directions
Mailing address
Po Box 678
Sturgeon Bay, WI 54235-0678
Registry dates
- Enumerated
- 2005-06-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.