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Organization
NORTHWEST MICHIGAN SURGERY CENTER LLC
Active
Organization
NORTHWEST MICHIGAN SURGERY CENTER LLC
Active
Other names
Copper Ridge Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L PIOTROWSKI (CEO)
(231) 392-8950
Entity
Organization
Contact information
Practice address
4100 PARK FOREST DRIVE, TRAVERSE CITY, MI 49684-6725
(231) 392-8900
(231) 392-8973
Mailing address
4100 PARK FOREST DRIVE, TRAVERSE CITY, MI 49684-6725
(231) 392-8900
(231) 392-8973
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
286173
MI
Other
Enumeration date
10/27/2005
Last updated
06/04/2019
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