Organization
CENTRACARE SURGERY CENTER
Active
Other names
Midsota Surgical Suites
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
3701 12TH ST N, 101, SAINT CLOUD, MN 56303-2255
(320) 253-7257
(320) 257-5671
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4964
(320) 229-5171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
375987
MN
Other
Enumeration date
08/29/2016
Last updated
09/10/2024
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