Organization
GREAT LAKES SURGERY CENTER, LC
Active
Other names
Great Lakes Surgery Center, LC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BENJAMIN SYNHORST II D.D.S. (PRESIDENT)
(712) 262-7350
Entity
Organization
Contact information
Practice address
116 E 11TH ST, SUITE 202, SPENCER, IA 51301-4364
(712) 262-7350
(712) 262-7351
Mailing address
116 E 11TH ST, SUITE 202, SPENCER, IA 51301-4364
(712) 262-7350
(712) 262-7351
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0610345
—
IA
Enumeration date
12/14/2006
Last updated
03/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us