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 |