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LAKE SIDE SURGICAL ASSOCIATES SC
NPI 1699779355
Specialist in Sturgeon Bay, WI

Active since June 10, 2005
1843 MICHIGAN ST, STURGEON BAY, WI 54235(920) 746-1060(920) 746-1072 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Side Surgical Associates Sc NPPES

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

LAKE SIDE SURGICAL ASSOCIATES SC (NPI 1699779355) is a healthcare organization registered as a specialist in Sturgeon Bay, Wisconsin and active in the NPI registry since June 2005. The organization lists Michael T Herlache, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699779355
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE SIDE SURGICAL ASSOCIATES SC
Location Address1843 MICHIGAN STSturgeon Bay, WI 54235-1007
Mailing AddressPo Box 678Sturgeon Bay, WI 54235-0678 · (920) 746-1060 · Fax (920) 746-1072
Phone(920) 746-1060
Fax(920) 746-1072
Organization SubpartNo
Authorized OfficialMichael T HerlacheAdministrator · (920) 746-1060
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699779355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1843 MICHIGAN ST, Sturgeon Bay, WI 54235
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

SHANNON JAMES GALLAGHER MD, MPH
Surgery
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060
DR. MICHAEL R. ST JEAN M.D.
Surgery
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060
KATHRYN ELIZABETH MEHLBERG RN
Registered Nurse
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060
MOLLIE PFEIFER PETERSEN PAC
Physician Assistant
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060
NEIL WALTER KLEMAN DO
Surgery
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060
JOHN HERLACHE MD
Specialist
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060
SHAUN J MELARVIE M.D.
Surgery
1843 MICHIGAN ST
STURGEON BAY, WI 54235
Door County (920) 746-1060

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 Lake Side Surgical Associates Sc's NPI number?

The NPI number for Lake Side Surgical Associates Sc is 1699779355. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Lake Side Surgical Associates Sc located?

Lake Side Surgical Associates Sc is located at 1843 Michigan St, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-1060.

What is Lake Side Surgical Associates Sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lake Side Surgical Associates Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.