Organization
SURGERY GROUP OF GRAND ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN H MCMICKELL (ADMINISTRATOR)
(308) 398-8266
Entity
Organization
Contact information
Practice address
820 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 384-7200
(308) 384-7378
Mailing address
PO BOX 5226, GRAND ISLAND, NE 68802-5226
(308) 384-7200
(308) 384-7378
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
05/27/2010
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