NPI | 1023358116 |
---|---|
Doing Business As | MAPLE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | EDWARD HETRICK Administrator 845-770-1883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 1030000042) |
Enumeration Date | 2013-02-26 |
Last Update Date | 2015-08-19 |