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Premier Surgical of Wisconsin Sc

Surgery Physician in Maintowoc, WI · enumerated 2006 · authorized official Kimberly Ridl, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679671408

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Surgical of Wisconsin Sc
Practice address 940 Maritime Dr, Ste 4, Maintowoc, WI, 54220
Phone (920) 686-7900
Fax (920) 686-7984
Enumeration date Sep 20, 2006
Last updated in NPPES Aug 8, 2023

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 19677020 (WI) Primary

Authorized official

Name Kimberly Ridl
Title President
Phone (920) 686-7900

Other identifiers

Identifier Type State Issuer
DG9827 Other WI RAILROAD MEDICARE
31123900 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Premier Surgical of Wisconsin Sc?
The NPI for Premier Surgical of Wisconsin Sc is 1679671408, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Premier Surgical of Wisconsin Sc?
NPPES lists Kimberly Ridl (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-08.