| NPI | 1326555491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA FONTONOT Billing Manger 705-332-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-05-19 |