| Sandusky Surgical Pllc | |
|
150 N Delaware St Sandusky MI 48471-1009 | |
| (810) 648-9670 | |
| (810) 648-9677 |
| Full Name | Sandusky Surgical Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 150 N Delaware St, Sandusky, Michigan |
| Authorized Official Name and Position | Khristine C Botezan (PRESIDENT) |
| Authorized Official Contact | 8106489670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandusky Surgical Pllc Po Box 191 Sandusky MI 48471-0191 Ph: (810) 648-9670 | Sandusky Surgical Pllc 150 N Delaware St Sandusky MI 48471-1009 Ph: (810) 648-9670 |
| NPI Number | 1093762742 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093762742 | NPI | - | NPPES |
| 4700615 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301084929 (Michigan) | Primary |
Lazaro Javier Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Worth St, Sandusky, MI 48471 Phone: 810-648-3444 Fax: 810-648-3102 | |
Mckenzie Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Dawson St, Sandusky, MI 48471 Phone: 810-648-6162 Fax: 810-648-5058 | |
Mckenzie Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Delaware St, Sandusky, MI 48471 Phone: 810-648-9677 Fax: 810-648-0053 | |
Mckenzie Professional Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Delaware St, Sandusky, MI 48471 Phone: 810-648-6162 Fax: 810-648-5058 | |
Mckenzie Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 W Argyle Street, Sandusky, MI 48471 Phone: 810-648-3229 Fax: 810-648-5404 |