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Organization
EYE SURGERY CENTER OF MICHIGAN LLC
Active
Organization
EYE SURGERY CENTER OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVID GROSINGER MD (MEDICAL DIRECTOR)
(248) 333-2900
Entity
Organization
Contact information
Practice address
3455 LIVERNOIS, TROY, MI 48083-5063
(248) 619-2020
Mailing address
3455 LIVERNOIS RD, TROY, MI 48083-5063
(248) 619-2020
(248) 619-7150
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
11/02/2007
Last updated
03/22/2021
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