Ssc Pleasant Prairie Operating Company Llc

Specialty details in registry · Pleasant Prairie, WI

Call (262) 612-2800 Directions

At a glance

10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1947

NPPES record updated Nov 17, 2020. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Professional details: NPI, taxonomy & registry record
NPI1003937475
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
314000000X
Enumeration date
Apr 3, 2007
Record updated
Nov 17, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

314000000X · Primary

License reported: 5005 WI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Phone
(262) 612-2800
Mailing address
5300 W SAM HOUSTON PKWY N
SUITE 100
HOUSTON, TX 770415161
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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