# NEW MILLENNIUM SURGERY CENTER, PLLC

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

## Provider details

- **NPI number:** 1366574410
- **Authorized official:** BETTY VANDEPUTTE (ADMINISTRATOR)
- **Authorized official phone:** (248) 281-0028

## Contact information

- **Practice address:** 29201 TELEGRAPH RD, SUITE 315, SOUTHFIELD, MI 48034-1331
- **Practice address phone:** (248) 281-0028
- **Practice address fax:** (248) 281-0034
- **Mailing address:** 29201 TELEGRAPH RD, SUITE 315, SOUTHFIELD, MI 48034-1331
- **Mailing address phone:** (248) 281-0028
- **Mailing address fax:** (248) 281-0034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 636926 | MI | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 11/29/2012