OrganizationActive
The Plastic Surgery Group Sc
NPI 1841306974 · Plastic and Reconstructive Surgery Physician · Wausau, WI
Provider details
- NPI number
- 1841306974
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Kinney-Horvat, Administrator(715) 847-0444
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
425 Pine Ridge Blvd
Suite 205
Wausau, WI 54401
Phone: (715) 847-0444
Fax: (715) 847-0445
Approximate (ZIP-level) locationGet directions
Mailing address
425 Pine Ridge Blvd
Wausau, WI 54401
Other names (DBA / former)
- Former legal business name
- North Central Wisconsin Plastic Surgery Sc
Registry dates
- Enumerated
- 2006-08-22
- 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.