Organization
BRONSON AMBULATORY SURGERY CENTER, LLC
Active
Other names
Bronson Orthopedic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH HAMMER RN (ADMINISTRATOR)
(269) 352-8911
Entity
Organization
Contact information
Practice address
6263 BEATRICE DR, KALAMAZOO, MI 49009
(269) 352-8911
(269) 341-7519
Mailing address
6263 BEATRICE DR, KALAMAZOO, MI 49009-9556
(269) 352-8911
(269) 308-7011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
12/19/2023
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