NPI | 1679270144 |
---|---|
Doing Business As | SURGERY CENTER AT GATEWAY |
Entity Type | Organization |
Authorized Contact | EDWARD P STACK Owner 810-720-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-12-13 |