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Sandusky Surgical Pllc

Clinic/Center in Sandusky, MI · enumerated 2006 · authorized official Khristine Botezan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093762742

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Registry record

Entity type Organization (Type 2)
Legal business name Sandusky Surgical Pllc
Practice address 150 N Delaware St, Sandusky, MI, 48471
Phone (810) 648-9670
Fax (810) 648-9677
Enumeration date May 28, 2006
Last updated in NPPES Jan 3, 2008

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 4301084929 (MI) Primary

Authorized official

Name Khristine Botezan
Title President
Phone (810) 648-9670

Other identifiers

Identifier Type State Issuer
4700615 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Sandusky Surgical Pllc?
Sandusky Surgical Pllc is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-03.