Organization
MIDWEST SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONJAY JOSEPH FONN D.O. (OWNER)
(573) 651-1687
Entity
Organization
Contact information
Practice address
65 DOCTORS PARK, SUITE B, CAPE GIRARDEAU, MO 63703-4927
(573) 803-2007
Mailing address
PO BOX 614, CAPE GIRARDEAU, MO 63702-0614
(573) 651-1687
(573) 651-8734
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
11/27/2023
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