# CADILLAC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1154208445
- **Authorized official:** PETER EDWARD MARINOFF (PRESIDENT/CEO SOUTH REIGON)
- **Authorized official phone:** (231) 352-2285

## Contact information

- **Practice address:** 7665 S US 131 HWY, CADILLAC, MI 49601
- **Practice address phone:** (231) 876-7411
- **Mailing address:** 7665 S US 131 HWY, CADILLAC, MI 49601
- **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:** 08/19/2025
- **Last updated:** 10/06/2026