institution
Southfield Endoscopy Asc Llc
Ambulatory Surgical Clinic/Center in Troy, Michigan
NPI 1104899855

Southfield Endoscopy Asc Llc is an Ambulatory Surgical Clinic/Center based in Troy, MI and is specialized in Ambulatory Surgical. Southfield Endoscopy Asc Llc practices in Troy, MI. The NPI Number for Southfield Endoscopy Asc Llc is 1104899855 and holds a License No. 636911 (Michigan).

The current practice location address for Southfield Endoscopy Asc Llc is 264 W Maple Rd, Troy, MI and can be reached out via phone at 248-269-5594 and via fax at 248-269-6546.

Location: 264 W Maple Rd, Troy, MI, 48084-5435
institution
Provider Profile Details
NPI Number
1104899855
Provider Name
Southfield Endoscopy Asc Llc
Credential
Provider Entity Type
Organization
Address
264 W Maple Rd, Troy, MI, 48084-5435
Phone Number
248-269-5594
Fax Number
248-269-6546
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94321929 01 MI TRICARE
institution
Provider Business Practice Location Address Details
Address
264 W Maple Rd
City
State
Zip
48084-5435
Phone Number
248-269-5594
Fax Number
248-269-6546
person
Provider Business Mailing Address Details
Address
264 W Maple Rd
City
State
Zip
48084-5435
Phone Number
248-269-5594
Fax Number
248-269-6546
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
636911 (Michigan)
Definition
Definition to come...
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