# SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1104179878
- **Authorized official:** KATHRYN MARY PRING (VICE-PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (586) 439-6314

## Contact information

- **Practice address:** 5504 E 12 MILE RD, WARREN, MI 48092-4684
- **Practice address phone:** (586) 838-2035
- **Mailing address:** 5504 WEST 12 MILE ROAD, WARREN, MI 48092
- **Mailing address phone:** (586) 838-2035

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 12/21/2023