# BRONSON AMBULATORY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bronson Orthopedic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972223394
- **Authorized official:** MR. KENNETH HAMMER RN (ADMINISTRATOR)
- **Authorized official phone:** (269) 352-8911

## Contact information

- **Practice address:** 6263 BEATRICE DR, KALAMAZOO, MI 49009
- **Practice address phone:** (269) 352-8911
- **Practice address fax:** (269) 341-7519
- **Mailing address:** 6263 BEATRICE DR, KALAMAZOO, MI 49009-9556
- **Mailing address phone:** (269) 352-8911
- **Mailing address fax:** (269) 308-7011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 12/19/2023