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Sixty Fourth Street Llc
Ambulatory Surgical Clinic/Center in Byron Center, Michigan
NPI 1164538286

Sixty Fourth Street Llc is an Ambulatory Surgical Clinic/Center based in Byron Center, MI and is specialized in Ambulatory Surgical. Sixty Fourth Street Llc practices in Byron Center, MI. The NPI Number for Sixty Fourth Street Llc is 1164538286 and holds a License No. (Michigan).

The current practice location address for Sixty Fourth Street Llc is 2373 64Th St Sw, Byron Center, MI and can be reached out via phone at 616-685-3975 and via fax at 616-685-3977.

Location: 2373 64Th St Sw, Byron Center, MI, 49315-7974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164538286
Provider Name
Sixty Fourth Street Llc
Credential
Provider Entity Type
Organization
Address
2373 64Th St Sw, Byron Center, MI, 49315-7974
Phone Number
616-685-3975
Fax Number
616-685-3977
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2373 64Th St Sw
City
Byron Center
State
Michigan
Zip
49315-7974
Phone Number
616-685-3975
Fax Number
616-685-3977
person
Provider Business Mailing Address Details
Address
2373 64Th St Sw
City
Byron Center
State
Michigan
Zip
49315-7974
Phone Number
616-685-3975
Fax Number
616-685-3977
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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