Organization
MICHIGAN ADVANCED SURGICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A POULSEN (CFO)
(586) 434-3211
Entity
Organization
Contact information
Practice address
27101 SCHOENHERR RD STE 300, WARREN, MI 48088-4700
(586) 434-3210
(586) 434-3214
Mailing address
27101 SCHOENHERR RD STE 300, WARREN, MI 48088-4700
(586) 434-3210
(586) 434-3214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/22/2021
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