| NPI | 1295820249 |
|---|---|
| Doing Business As | THE SURGERY CENTER AT CEDAR LAKE |
| Entity Type | Organization |
| Authorized Contact | CHARLES J WILSON Owner And Director 228-702-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 004) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-20 |