Organization
SURGICAL ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL G GUTEKUNST D.O. (PRESIDENT)
(810) 694-9700
Entity
Organization
Contact information
Practice address
8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940
Mailing address
8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020B511640
BLUE CARE NETWORK
MI
01
—
0N89830
BLUE CROSS MEDICARE ADVAN
MI
01
—
1015760
MCLAREN HEALTH PLAN
MI
01
—
105248
PREFERRED CHOICE
MI
01
—
C20472
RAILROAD MEDICARE
MI
Enumeration date
02/06/2007
Last updated
04/29/2009
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