Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1851044630 |
| LBN Legal business name | FREEDOM SURGICAL CENTER |
| Authorized official | STEVEN SIWEK - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/01/2022 |
| Last updated | 05/06/2024 - About 2 years ago |
| Identifiers | n/a |
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