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Organization

SURGERY CENTER OF KALAMAZOO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization

Contact information

Practice address
3200 W CENTRE AVE, SUITE 101, PORTAGE, MI 49024-4889
(269) 323-9905
Mailing address
3200 W CENTRE AVE, SUITE 101, PORTAGE, MI 49024-4889
(269) 323-9905

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MI

Other

Enumeration date
10/16/2006
Last updated
08/20/2024
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