# EYE SURGERY CENTER OF MICHIGAN LLC

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

## Provider details

- **NPI number:** 1255510525
- **Authorized official:** LESLIE DAVID GROSINGER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 333-2900

## Contact information

- **Practice address:** 3455 LIVERNOIS, TROY, MI 48083-5063
- **Practice address phone:** (248) 619-2020
- **Mailing address:** 3455 LIVERNOIS RD, TROY, MI 48083-5063
- **Mailing address phone:** (248) 619-2020
- **Mailing address fax:** (248) 619-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 03/22/2021