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Organization
HALL ROAD ASC LLC
Active
Organization
HALL ROAD ASC LLC
Active
Other names
Mrs., Michigan Surgical Utica
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE GREENBLATT (EXECUTIVE ADMINISTRATOR)
(248) 740-0658
Entity
Organization
Contact information
Practice address
11051 HALL RD STE 100, UTICA, MI 48317-5737
(248) 740-0658
Mailing address
130 TOWN CENTER DR STE 101, TROY, MI 48084-1744
(248) 740-0658
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/06/2020
Last updated
04/28/2026
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