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Organization
LIVONIA OUTPATIENT SURGERY CENTER, LLC
Active
Organization
LIVONIA OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
33400 6 MILE RD, SUITE B, LIVONIA, MI 48152-3143
(810) 623-1482
Mailing address
33400 6 MILE RD, SUITE B, LIVONIA, MI 48152-3143
(347) 452-7111
(734) 452-7121
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
02/15/2011
Last updated
10/01/2026
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