| NPI | 1497422919 |
|---|---|
| Doing Business As | MINNIE STREET SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY L JOHNSON Member 907-479-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-12-02 |