institution
Great Lakes Surgical Center Llc
Ambulatory Surgical Clinic/Center in Southfield, Michigan
NPI 1568420388

Great Lakes Surgical Center Llc is an Ambulatory Surgical Clinic/Center based in Southfield, MI and is specialized in Ambulatory Surgical. Great Lakes Surgical Center Llc practices in Southfield, MI. The NPI Number for Great Lakes Surgical Center Llc is 1568420388 and holds a License No. 261QA1903X (Michigan).

The current practice location address for Great Lakes Surgical Center Llc is 26051 Lahser Rd, Southfield, MI and can be reached out via phone at 248-223-9925 and via fax at 248-223-9957.

Location: 26051 Lahser Rd, Southfield, MI, 48034-2601
institution
Provider Profile Details
NPI Number
1568420388
Provider Name
Great Lakes Surgical Center Llc
Credential
Provider Entity Type
Organization
Address
26051 Lahser Rd, Southfield, MI, 48034-2601
Phone Number
248-223-9925
Fax Number
248-223-9957
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490F328640 01 MI BLUE CROSS SECONDARY
17228 01 MI MCARE
40332 01 MI BLUE CROSS PRIMARY
institution
Provider Business Practice Location Address Details
Address
26051 Lahser Rd
City
State
Zip
48034-2601
Phone Number
248-223-9925
Fax Number
248-223-9957
person
Provider Business Mailing Address Details
Address
26051 Lahser Rd
City
State
Zip
48034-2601
Phone Number
248-223-9925
Fax Number
248-223-9957
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
261QA1903X (Michigan)
Definition
Definition to come...
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