West Lakes Surgery Center LLC
NPI #1104933696 in Clive, Iowa
Provider Information
- NPI Number
- 1104933696
- Entity Type
- Organization
- Organization Name
- West Lakes Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Jun 4, 2020
Practice Location
Authorized Official
- Name
- DR. TERI S FORMANEK, M.D.
- Title
- PRESIDENT
- Phone
- (515) 327-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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