Organization
CASTLEMAN SURGERY CENTER, LLC
Active
Other names
Southgate Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA PHILLIPS R.N. (ADMINISTRATOR)
(734) 281-0100
Entity
Organization
Contact information
Practice address
14050 DIX TOLEDO RD, SOUTHGATE, MI 48195-2501
(734) 281-0100
(734) 283-4839
Mailing address
14050 DIX TOLEDO RD, SOUTHGATE, MI 48195-2501
(734) 281-0100
(734) 283-4839
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4301027659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3398300
—
MI
Enumeration date
07/03/2006
Last updated
02/03/2021
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