# SURGERY CENTER OF SANDUSKY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Sandusky
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295841666
- **Authorized official:** MICHELE RENE MANN (CREDENTIALING MANAGER)
- **Authorized official phone:** (517) 896-8430

## Contact information

- **Practice address:** 2616 HAYES AVE, SANDUSKY, OH 44870-5311
- **Practice address phone:** (419) 626-2800
- **Practice address fax:** (419) 626-2820
- **Mailing address:** 2616 HAYES AVE, SANDUSKY, OH 44870-5311
- **Mailing address phone:** (419) 626-2800
- **Mailing address fax:** (419) 626-2820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0508AS | OH | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 02/15/2023