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Organization
GRAND RIVER SURGERY CENTER, LLC
Active
Organization
GRAND RIVER SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DIETZEL DO (CEO)
(517) 488-8800
Entity
Organization
Contact information
Practice address
1090 TROWBRIDGE RD STE A, EAST LANSING, MI 48823-5220
(517) 220-0240
(517) 200-4455
Mailing address
1090 TROWBRIDGE RD STE A, EAST LANSING, MI 48823-5220
(517) 282-0851
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/26/2021
Last updated
12/08/2021
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