institution
Northwest Michigan Surgery Center Llc
Ambulatory Surgical Clinic/Center in Traverse City, Michigan
NPI 1518957729

Northwest Michigan Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Traverse City, MI and is specialized in Ambulatory Surgical. Northwest Michigan Surgery Center Llc practices in Traverse City, MI. The NPI Number for Northwest Michigan Surgery Center Llc is 1518957729 and holds a License No. 286173 (Michigan).

The current practice location address for Northwest Michigan Surgery Center Llc is 4100 Park Forest Drive, Traverse City, MI and can be reached out via phone at 231-392-8900 and via fax at 231-392-8973. You can also correspond with Northwest Michigan Surgery Center Llc through the mailing address at 4100 PARK FOREST DRIVE, TRAVERSE CITY, MI - 49684-6725 (mailing address contact number: 231-392-8900).

Location: 4100 Park Forest Drive, Traverse City, MI, 49684-6725
institution
Provider Profile Details
NPI Number
1518957729
Provider Name
Northwest Michigan Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
4100 Park Forest Drive, Traverse City, MI, 49684-6725
Phone Number
231-392-8900
Fax Number
231-392-8973
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38217 01 MI PRIORITY HEALTH
40340 01 MI BLUE CROSS BLUE SHIELD MI
P118278 01 MI BLUE CARE NETWORK MI
487354900 01 KY US DEPT OF LABOR
104539 01 MN HEALTH PARTNERS
40340 01 MI BLUE CROSS BLUE SHIELD
P118278 01 MI BLUE CARE NETWORK
00099448 01 GA RAILROAD MEDICARE
487354900 01 MI ASR CORP
institution
Provider Business Practice Location Address Details
Address
4100 Park Forest Drive
City
State
Zip
49684-6725
Phone Number
231-392-8900
Fax Number
231-392-8973
person
Provider Business Mailing Address Details
Address
4100 Park Forest Drive
City
State
Zip
49684-6725
Phone Number
231-392-8900
Fax Number
231-392-8973
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
286173 (Michigan)
Definition
Definition to come...
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