| NPI | 1083677595 |
|---|---|
| Doing Business As | HANOVER OUTPATIENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DON LIEDTKE Vice President 615-344-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH657) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-05-24 |