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Organization
SURGERY CENTER AT GATEWAY LLC
Active
Organization
SURGERY CENTER AT GATEWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD P STACK MD (CEO)
(810) 720-9111
Entity
Organization
Contact information
Practice address
5302 GATEWAY CTR, FLINT, MI 48507-3930
(810) 720-9111
Mailing address
5302 GATEWAY CTR, FLINT, MI 48507-3930
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/10/2019
Last updated
12/06/2023
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