Organization
TOWNE CENTRE SURGERY CENTER, LLC
Active
Other names
St. Mary's of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE BOUCHARD RN (DIRECTOR)
(989) 497-3096
Entity
Organization
Contact information
Practice address
4599 TOWNE CENTRE ROAD, SAGINAW, MI 48604
(989) 497-3096
(989) 497-3048
Mailing address
4599 TOWNE CENTRE ROAD, SAGINAW, MI 48604
(989) 497-3096
(989) 497-3048
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
736821
STATE LICENSE
MI
Enumeration date
09/28/2006
Last updated
06/08/2022
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