# MIDWEST SURGERY CENTER

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

## Provider details

- **NPI number:** 1801164355
- **Authorized official:** LEE ANN ODOM (PRESIDENT SHARED SERVICES)
- **Authorized official phone:** (947) 522-3326

## Contact information

- **Practice address:** 4700 SCHAEFER RD, DEARBORN, MI 48126-3698
- **Practice address phone:** (313) 581-2600
- **Practice address fax:** (313) 581-0228
- **Mailing address:** 26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033
- **Mailing address phone:** (947) 522-1964

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 10/21/2021