Family Surgery Center, LLC

NPI #1962583369 in Willmar, Minnesota

Provider Information

NPI Number: 1962583369
Entity Type: Organization
Organization Name: Family Surgery Center, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 18, 2006
Last Updated: Jun 12, 2012

Practice Location

Address: 1801 19TH AVE SW
City: Willmar
State: Minnesota
ZIP Code: 56201-4946
Phone: (320) 235-7700

Authorized Official

Name: MRS. CARMEN MACIK
Title: ADMINISTRATOR
Phone: (320) 214-5759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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