Organization
SURGICAL ASSOCIATES OF LUDINGTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIZAR A UMRAN MD (PRESIDENT)
(231) 843-3717
Entity
Organization
Contact information
Practice address
7 N ATKINSON DR, SUITE 112, LUDINGTON, MI 49431-1953
(231) 843-3717
(231) 845-6198
Mailing address
7 N ATKINSON DR, SUITE 112, LUDINGTON, MI 49431-1953
(231) 843-3717
(231) 845-6198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301033140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2840869
—
MI
Enumeration date
07/19/2007
Last updated
10/19/2010
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