# DOWNRIVER SURGERY CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023295474
- **Authorized official:** DR. RONALD MORRIS DDS (PRESIDENT)
- **Authorized official phone:** (734) 285-2550

## Contact information

- **Practice address:** 1823 FORT ST, WYANDOTTE, MI 48192-3545
- **Practice address phone:** (734) 285-2550
- **Practice address fax:** (734) 285-5375
- **Mailing address:** 1823 FORT ST, WYANDOTTE, MI 48192-3545
- **Mailing address phone:** (734) 285-2550
- **Mailing address fax:** (734) 285-5375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901012910 | MI | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 06/11/2008
