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Organization
EAST PARIS SURGICAL CENTER, LLC
Active
Organization
EAST PARIS SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J MOSLEY BS (FACILITY ADMINISTRATOR)
(616) 949-2001
Entity
Organization
Contact information
Practice address
1000 E PARIS AVE SE, SUITE LL01, GRAND RAPIDS, MI 49546-3680
(616) 464-3430
(616) 464-3440
Mailing address
1000 E PARIS AVE SE, SUITE LL01, GRAND RAPIDS, MI 49546-3680
(616) 464-3430
(616) 464-3440
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
416834
MI
Other
Enumeration date
02/10/2006
Last updated
08/22/2020
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