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Organization
NORTHWEST DAKOTA SURGERY CENTER LLC
Active
Organization
NORTHWEST DAKOTA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE HAWTHORN (BUSINESS OFFICE MANAGER)
(714) 234-6728
Entity
Organization
Contact information
Practice address
1002 18TH AVENUE SE, MINOT, ND 58701
(714) 234-6728
Mailing address
2370 ANSELMO DR, CORONA, CA 92879-7106
(714) 234-6728
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
08/26/2025
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