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Organization

ASCENSION MEDICAL GROUP-SURGICAL ASSOCIATES LLC

Active
Other names
Surgical Associates, PLC
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LOPEZ (DIRECTOR)
(810) 938-1133
Entity
Organization

Contact information

Practice address
8235 HOLLY RD, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940
Mailing address
8235 HOLLY RD, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/17/2021
Last updated
03/25/2021
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