Great Lakes Surgery Center, Lc

NPI #1588726996 in Spencer, Iowa

Provider Information

NPI Number
1588726996
Entity Type
Organization
Organization Name
Great Lakes Surgery Center, Lc
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 14, 2006
Last Updated
Mar 23, 2010

Practice Location

Address
116 E 11TH ST
Address 2
SUITE 202
State
Iowa
ZIP Code
51301-4364
Phone
(712) 262-7350

Authorized Official

Name
DR. JOHN BENJAMIN SYNHORST II, D.D.S.
Title
PRESIDENT
Phone
(712) 262-7350

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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