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Organization
CATARACT SPECIALTY SURGICAL CENTER, LLC
Active
Organization
CATARACT SPECIALTY SURGICAL CENTER, LLC
Active
Other names
Cataract specialty surgical center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JANKOWSKI BSN, RN (ADMINISTATOR)
(248) 586-4602
Entity
Organization
Contact information
Practice address
28747 WOODWARD AVE LOWR LEVEL, BERKLEY, MI 48072-0931
(248) 584-4602
(248) 584-4630
Mailing address
28747 WOODWARD AVE, LOWER LEVEL, BERKLEY, MI 48072-0914
(248) 584-4602
(248) 584-4630
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
636901
MI
Other
Enumeration date
05/31/2005
Last updated
05/16/2022
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