| NPI | 1124125331 |
|---|---|
| Doing Business As | BROOKSIDE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BURKHARDT Board Member 269-979-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-05-24 |