Healthcare Provider Details

I. General information

NPI: 1619614963
Provider Name (Legal Business Name): VALLEY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 HILLCREST DR STE 301
HUDSON WI
54016-9919
US

IV. Provider business mailing address

1719 TOWER DR W STE 100
STILLWATER MN
55082-7512
US

V. Phone/Fax

Practice location:
  • Phone: 651-333-2190
  • Fax: 651-275-3161
Mailing address:
  • Phone: 651-333-2190
  • Fax: 651-275-3032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY SCHWARTZ
Title or Position: MD/ PRESIDENT
Credential: MD
Phone: 651-275-3000