NPI | 1508978990 |
---|---|
Doing Business As | ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS |
Entity Type | Organization |
Authorized Contact | BRIJ DEWAN President 269-385-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 396814) |
Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-01-18 |