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Organization

MUSKEGON SC, LLC

Active
Other names
Muskegon Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY D RECKNAGEL MD (PRESIDENT OF BOARD)
(231) 733-1326
Entity
Organization

Contact information

Practice address
1400 MERCY DR, MUSKEGON, MI 49444-1836
(720) 320-6577
Mailing address
1440 E SHERMAN BLVD, MUSKEGON, MI 49444-1878

Taxonomy

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

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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