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Organization
OAKLAND PHYSICIANS SURGERY CENTER
Active
Organization
OAKLAND PHYSICIANS SURGERY CENTER
Active
Other names
Maple Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HETRICK (ADMINISTRATOR)
(845) 770-1883
Entity
Organization
Contact information
Practice address
1560 E. MAPLE ROAD, SUITE 100, TROY, MI 48083
(248) 817-2001
(248) 817-2020
Mailing address
1560 E. MAPLE ROAD, SUITE 100, TROY, MI 48083
(248) 817-2001
(248) 817-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MI
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
Other
Enumeration date
09/26/2012
Last updated
08/12/2015
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