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Organization
WOODBRIDGE CENTER LLC
Active
Organization
WOODBRIDGE CENTER LLC
Active
Other names
Endoscopy and Surgery Center at Woodbridge Hills
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJ DEWAN MD (PRESIDENT)
(269) 385-9900
Entity
Organization
Contact information
Practice address
7901 ANGLING RD, PORTAGE, MI 49024-0714
(269) 324-8406
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
396814
MI
261QE0800X
Endoscopy Clinic/Center
—
NULL
Other
Enumeration date
08/31/2006
Last updated
01/18/2012
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