# TOWN CENTER ASC PLLC

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

## Provider details

- **NPI number:** 1033466933
- **Authorized official:** BONNIE GREENBLATT CMA (DIRECTOR OF AMBULATORY SURGICAL SER)
- **Authorized official phone:** (482) 515-5148

## Contact information

- **Practice address:** 130 TOWN CENTER DR, SUITE 130, TROY, MI 48084-1744
- **Practice address phone:** (248) 593-9780
- **Mailing address:** 130 TOWN CENTER DR, SUITE 130, TROY, MI 48084-1744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 63-6958 | MI | Yes |

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 11/01/2024