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General NPI Number Information
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NPI Number | 1396793790
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER AT HEALTH PARK LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 600 HEALTH PARK BLVD SUITE A
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City | GRAND BLANC
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State | MI
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Zip | 48439-2558
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Country | US
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Telephone | 810-603-8201
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Fax | 810-603-8214
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Provider Business Mailing Address
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Address Line | 600 HEALTH PARK BLVD STE A
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City | GRAND BLANC
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State | MI
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Zip | 48439-2558
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Country | US
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Telephone | 810-603-8233
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Fax | 810-603-8214
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Authorized Official
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Title or Position | VP
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Name | MRS. WENDY STARK-RIEMER
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Credential |
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Telephone | 615-656-0917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | PENDING
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License Number State | MI
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