# CENTER HEALTH SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Detroit Children's Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255972113
- **Authorized official:** DEVIN LARSEN (CEO)
- **Authorized official phone:** (208) 340-1840

## Contact information

- **Practice address:** 30671 STEPHENSON HWY STE F, MADISON HEIGHTS, MI 48071-1635
- **Practice address phone:** (313) 544-3614
- **Mailing address:** 30671 STEPHENSON HWY STE F, MADISON HEIGHTS, MI 48071-1635
- **Mailing address phone:** (313) 544-3614

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2019
- **Last updated:** 05/14/2024