| NPI | 1588726996 |
|---|---|
| Former Legal Business Name | GREAT LAKES SURGERY CENTER, LC |
| Entity Type | Organization |
| Authorized Contact | JOHN BENJAMIN SYNHORST President 712-262-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-03-23 |