# MICHIGAN ADVANCED SURGICAL CENTER, PLLC

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

## Provider details

- **NPI number:** 1033730098
- **Authorized official:** MR. JEFFREY A POULSEN (CFO)
- **Authorized official phone:** (586) 434-3211

## Contact information

- **Practice address:** 27101 SCHOENHERR RD STE 300, WARREN, MI 48088-4700
- **Practice address phone:** (586) 434-3210
- **Practice address fax:** (586) 434-3214
- **Mailing address:** 27101 SCHOENHERR RD STE 300, WARREN, MI 48088-4700
- **Mailing address phone:** (586) 434-3210
- **Mailing address fax:** (586) 434-3214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2020
- **Last updated:** 04/22/2021