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PREMIER SURGICAL OF WISCONSIN SC
NPI 1679671408
Surgery in Maintowoc, WI

Active since September 20, 2006
940 MARITIME DR, STE 4, MAINTOWOC, WI 54220(920) 686-7900(920) 686-7984 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Surgical Of Wisconsin Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER SURGICAL OF WISCONSIN SC (NPI 1679671408) is a healthcare organization registered as a surgery in Maintowoc, Wisconsin and active in the NPI registry since September 2006. The organization lists Kimberly A Ridl, President, as its authorized official.

NPPES Registry Identity

NPI1679671408
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePREMIER SURGICAL OF WISCONSIN SC
Location Address940 MARITIME DR, STE 4Maintowoc, WI 54220-2960
Mailing Address940 Maritime Dr, Ste 4Manitowoc, WI 54220-2960 · (920) 686-7900 · Fax (920) 686-7984
Phone(920) 686-7900
Fax(920) 686-7984
Organization SubpartNo
Authorized OfficialKimberly A RidlPresident · (920) 686-7900
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1679671408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 19677020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
940 MARITIME DR, Maintowoc, WI 54220
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Other Identifiers 2

OtherDG9827WI · Railroad Medicare
Medicaid31123900WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY GUELDNER MD
Surgery
940 MARITIME DR, SUITE 4
MANITOWOC, WI 54220
Manitowoc County (920) 686-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Surgical Of Wisconsin Sc's NPI number?

The NPI number for Premier Surgical Of Wisconsin Sc is 1679671408. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Premier Surgical Of Wisconsin Sc located?

Premier Surgical Of Wisconsin Sc is located at 940 Maritime Dr Ste 4, Maintowoc, WI 54220. The listed phone number is (920) 686-7900.

What is Premier Surgical Of Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Premier Surgical Of Wisconsin Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Premier Surgical Of Wisconsin Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Surgical Of Wisconsin Sc was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.