# MICHIGAN SPECIALTY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1558072629
- **Authorized official:** DR. AMIR-KIANOOSH FALLAHI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (810) 953-0500

## Contact information

- **Practice address:** 6886 SASHABAW ROAD, CLARKSTON, MI 48348-4732
- **Practice address phone:** (248) 707-3112
- **Practice address fax:** (248) 707-3113
- **Mailing address:** 6886 SASHABAW ROAD, CLARKSTON, MI 48348-4732
- **Mailing address phone:** (248) 707-3112
- **Mailing address fax:** (248) 707-3113

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2022
- **Last updated:** 11/01/2023