Organization
SURGERY CENTER AT GATEWAY LLC
Active
Other names
Surgery Center At Gateway
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD P STACK MD (OWNER)
(810) 720-9111
Entity
Organization
Contact information
Practice address
5302 GATEWAY CTR, FLINT, MI 48507-3930
(810) 285-9901
(810) 285-9974
Mailing address
PO BOX 713477, CHICAGO, IL 60677-4377
(810) 285-9901
(810) 285-9974
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
12/13/2023
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