# GAYLORD SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093694044
- **Authorized official:** KIRSTEN KORTH-WHITE (PRESIDENT/ CEO EAST REGION)
- **Authorized official phone:** (989) 348-0720

## Contact information

- **Practice address:** 309 NORTH ST, GAYLORD, MI 49735-1524
- **Practice address phone:** (231) 876-7411
- **Mailing address:** 7665 S US 131 HWY, GAYLORD, MI 49735
- **Mailing address phone:** (231) 876-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2025
- **Last updated:** 10/06/2026
