# PLATINUM MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOVI ASC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194494484
- **Authorized official:** AUTUMN NICOLE MANIS (ADMIN)
- **Authorized official phone:** (313) 359-8300

## Contact information

- **Practice address:** 5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
- **Practice address phone:** (313) 335-9800
- **Practice address fax:** (313) 359-8305
- **Mailing address:** 5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
- **Mailing address phone:** (313) 359-8300
- **Mailing address fax:** (313) 359-8305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 11/16/2022