# DEARBORN SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dearborn Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467491407
- **Authorized official:** MR. BARRY M CULLEN (BOARD MANAGER)
- **Authorized official phone:** (313) 982-3040

## Contact information

- **Practice address:** 18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4071
- **Practice address phone:** (313) 253-2000
- **Practice address fax:** (313) 253-2004
- **Mailing address:** 18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4071
- **Mailing address phone:** (313) 253-2000
- **Mailing address fax:** (313) 253-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 826846 | MI | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 10/20/2009