NPI:
1104298009
Provider Name:
RED CEDAR SURGERY CENTER, LLC
Former Legal Business Name: RED CEDAR SURGERY CENTER, PLLC
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
CLIA Number: 23D2104575
Address:
5668 OKEMOS RD
HASLETT, MI
ZIP 48840
Phone:
(517) 481-2883
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RED CEDAR SURGERY CENTER, LLC is an ambulatory surgical clinic center in Haslett, MI. RED CEDAR SURGERY CENTER, LLC NPI is 1104298009. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Red Cedar Surgery Center, Pllc.
The provider's business location address is:
5668 OKEMOS RD
HASLETT, MI
ZIP 48840-539
Phone: (517) 481-2883
The provider's authorized official is Jamie Nurenberg .
The authorized official title is Nurse Administrator and has the following contact phone number (517) 481-2883.
The CLIA number assigned to this NPI record is 23D2104575 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/30/2015 and was last updated on 4/16/2019.