Organization Name: | RED CEDAR SURGERY CENTER, PLLC |
NPI Number: | 1104298009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES TAUNT (MEDICAL DIRECTOR) |
Mailing Address: | 5668 Okemos Rd Haslett |
State: | MI US |
Postal Code: | 488409539 |
Phone Number: | 5178966760 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2015 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |