# SURGERY CENTER PLC

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

## Provider details

- **NPI number:** 1770577637
- **Authorized official:** DR. BRADLEY S. HOCHSTETLER M.D. (OWNER)
- **Authorized official phone:** (231) 929-2500

## Contact information

- **Practice address:** 5080 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
- **Practice address phone:** (231) 929-2500
- **Practice address fax:** (231) 929-0963
- **Mailing address:** 5080 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
- **Mailing address phone:** (231) 929-2500
- **Mailing address fax:** (231) 929-0963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | TH048021 | MI | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 12/15/2021
