NPI | 1649456021 |
---|---|
Doing Business As | POLARIS SURBERY CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN J. BULTEMA Administrator 614-566-0568 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2008-01-15 |
Last Update Date | 2008-01-15 |