Organization
NORTHWEST DAKOTA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE HAWTHORN (BUSINESS OFFICE MANAGER)
(714) 234-6728
Entity
Organization
Contact information
Practice address
1002 18TH AVENUE SE, MINOT, ND 58701
(714) 234-6728
Mailing address
2370 ANSELMO DR, CORONA, CA 92879-7106
(714) 234-6728
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
08/26/2025
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