ST JOHN'S SURGICAL GROUP, PC
Radiology at Broadway Ave, Jackson, WY

License number
Wyoming 5051A
Category
Radiology
Type
Surgery
Owner
Name: MICHAEL ROSENBERG MD
Title: PRESIDENT
Phone: (307) 733-0422
Address
Address
555 E Broadway Ave SUITE 229, Jackson, WY 83001
National Provider ID: 1356406557
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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St. John's Surgical Group, PC

Jackson, WY

Industry:
Medical Doctor's Office
Doing business as:
Dr George Waterhouse<br>Gerorge Water House MD<br>Waterhouse, George MD Facs<br>St Johns Surgical Group
Registration:
Apr 1, 1993
Phone:
(307) 733-0422 (Phone)
Addresses:
557 E Broadway, Jackson, WY 83001 (Physical)
PO Box 2067, Jackson, WY 83001 (Mailing)
PO Box 4197, Jackson, WY 83001
557 E Broadway Ave, Jackson, WY 83001
State ID:
1993-000280992
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Medical Doctors:
Susie L. Dunnagan (Manager),George Waterhouse (Facs, Medical Doctor, President),Michael Rosenberg (Medical Doctor, President),...
Categories:
General Surgeons, Physicians & Surgeons
Specialties:
Vascular Surgery
Products:
Specializing in General, Laparoscopic and Vascular Surgery
Certifications:
Board Certified in General Surgery
Additional:
St. John's Surgical Group

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