# CASTLEMAN SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1992735286
- **Authorized official:** LINDA PHILLIPS R.N. (ADMINISTRATOR)
- **Authorized official phone:** (734) 281-0100

## Contact information

- **Practice address:** 14050 DIX TOLEDO RD, SOUTHGATE, MI 48195-2501
- **Practice address phone:** (734) 281-0100
- **Practice address fax:** (734) 283-4839
- **Mailing address:** 14050 DIX TOLEDO RD, SOUTHGATE, MI 48195-2501
- **Mailing address phone:** (734) 281-0100
- **Mailing address fax:** (734) 283-4839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4301027659 | MI | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 02/03/2021