Provider Demographics
NPI:1265657068
Name:SURGICAL AND REHAB SERVICES INC
Entity Type:Organization
Organization Name:SURGICAL AND REHAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:OPA-C
Authorized Official - Phone:608-588-7756
Mailing Address - Street 1:E4051 STEVEN WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING GREEN
Mailing Address - State:WI
Mailing Address - Zip Code:53588-9271
Mailing Address - Country:US
Mailing Address - Phone:608-588-7756
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:E4051 STEVEN WAY
Practice Address - Street 2:
Practice Address - City:SPRING GREEN
Practice Address - State:WI
Practice Address - Zip Code:53588-9271
Practice Address - Country:US
Practice Address - Phone:608-588-7756
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIOTC-96-0579363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty