# FAMILY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1962583369
- **Authorized official:** MRS. CARMEN MACIK (ADMINISTRATOR)
- **Authorized official phone:** (320) 214-5759

## Contact information

- **Practice address:** 1801 19TH AVE SW, WILLMAR, MN 56201-4946
- **Practice address phone:** (320) 235-7700
- **Practice address fax:** (320) 235-7701
- **Mailing address:** 1801 19TH AVE SW, WILLMAR, MN 56201-4946
- **Mailing address phone:** (320) 235-7700
- **Mailing address fax:** (320) 235-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 330845 | MN | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/12/2012