# CENTER FOR DIGESTIVE CARE LLC

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

## Provider details

- **NPI number:** 1164528527
- **Authorized official:** LANA COOPER (ADMINISTRATOR)
- **Authorized official phone:** (734) 528-1405

## Contact information

- **Practice address:** 5300 ELLIOTT DR, YPSILANTI, MI 48197
- **Practice address phone:** (734) 434-6262
- **Mailing address:** 5300 ELLIOTT DR, YPSILANTI, MI 48197
- **Mailing address phone:** (734) 434-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 81-6818 | MI | Yes |
| 367H00000X | Anesthesiologist Assistant | 4704111201 | MI | — |
| 367H00000X | Anesthesiologist Assistant | 4704118315 | MI | — |
| 367H00000X | Anesthesiologist Assistant | 4704204265 | MI | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/25/2015