Organization
NORTHERN MICHIGAN SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (MARKET PRESIDENT)
(203) 609-1168
Entity
Organization
Contact information
Practice address
825 MOLL DR, BOYNE CITY, MI 49712-9182
(231) 497-1031
(231) 459-4313
Mailing address
825 MOLL DR, BOYNE CITY, MI 49712-9182
(231) 497-1031
(231) 459-4313
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
10/14/2024
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