institution
Michigan Endoscopy Center Llc
Ambulatory Surgical Clinic/Center in Farmington Hills, Michigan
NPI 1629075106

Michigan Endoscopy Center Llc is an Ambulatory Surgical Clinic/Center based in Jamison, MI and is specialized in Ambulatory Surgical. Michigan Endoscopy Center Llc practices in Farmington Hills, MI. The NPI Number for Michigan Endoscopy Center Llc is 1629075106 and holds a License No. (Michigan).

The current practice location address for Michigan Endoscopy Center Llc is 30055 Northwestern Hwy, Farmington Hills, MI and can be reached out via phone at 248-865-6555 and via fax at 248-865-6554.

Location: 30055 Northwestern Hwy, Farmington Hills, MI, 18929-1098
institution
Provider Profile Details
NPI Number
1629075106
Provider Name
Michigan Endoscopy Center Llc
Credential
Provider Entity Type
Organization
Address
30055 Northwestern Hwy, Farmington Hills, MI, 18929-1098
Phone Number
248-865-6555
Fax Number
248-865-6554
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23-C0001045 01 MEDICARE ASC NUMBER
23D1006055 01 CLIA CERTIFICATE
23389 01 AAAHC ACCREDITATION
40373 01 MI BCBSMI
010473 01 MI CERTIFICATE OF NEED
636910 01 MI STATE LICENESE
institution
Provider Business Practice Location Address Details
Address
30055 Northwestern Hwy
City
State
Zip
48334-3230
Phone Number
248-865-6555
Fax Number
248-865-6554
person
Provider Business Mailing Address Details
Address
30055 Northwestern Hwy
City
State
Zip
48334-3230
Phone Number
248-865-6555
Fax Number
248-865-6554
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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