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BREAST SURGERY EXPERTS OF NORTHEAST WISCONSIN, LLC
NPI 1770810947
Surgery in Neenah, WI

Active since November 10, 2009

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breast Surgery Experts Of Northeast Wisconsin, Llc NPPES

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

BREAST SURGERY EXPERTS OF NORTHEAST WISCONSIN, LLC (NPI 1770810947) is a healthcare organization registered as a surgery in Neenah, Wisconsin and active in the NPI registry since November 2009. The organization lists Colette A. Salm-schmid, President, as its authorized official.

NPPES Registry Identity

NPI1770810947
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBREAST SURGERY EXPERTS OF NORTHEAST WISCONSIN, LLC
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address3048 Cornelius CtGreen Bay, WI 54311-5914 · (920) 621-2880 · Fax (920) 468-8969
Phone(920) 729-3100
Organization SubpartNo
Authorized OfficialColette A. Salm-schmidPresident · (920) 621-2880
Enumeration DateNovember 10, 2009
✔ NPI 1770810947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 39597-20
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.
130 2ND ST, Neenah, WI 54956
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Other Identifiers 1

Medicare UPINH73221

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

Other Providers at the Same Location NPPES 20

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

JENNIFER MARIE KETTERHAGEN PHARMD
Pharmacist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 454-5080
JAMES P MANDERLE MD
Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
ALLISON A HOELZEL OT
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-2616
ELIZABETH BONSON PT
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-2155
SARAH M MARTIN
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 454-2973
JUSTIN EISBERNER
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-3100
DR. ERIK VERHAGE MD
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 969-7900
ALYSSA ANN ROTZENBERG
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-3100

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 Breast Surgery Experts Of Northeast Wisconsin, LLC's NPI number?

The NPI number for Breast Surgery Experts Of Northeast Wisconsin, LLC is 1770810947. It was assigned to this organization in the NPPES registry on November 10, 2009.

Where is Breast Surgery Experts Of Northeast Wisconsin, LLC located?

Breast Surgery Experts Of Northeast Wisconsin, LLC is located at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 729-3100.

What is Breast Surgery Experts Of Northeast Wisconsin, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Breast Surgery Experts Of Northeast Wisconsin, LLC was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.