Organization
OAKWOOD SOUTHSHORE SURGERY CENTER, LLC
Active
Other names
Oakwood Southshore Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY M CULLEN (BOARD MANAGER)
(313) 982-3010
Entity
Organization
Contact information
Practice address
5452 FORT ST, SUITE 100, TRENTON, MI 48183-4601
(734) 479-7070
(734) 479-7074
Mailing address
5452 FORT ST, SUITE 100, TRENTON, MI 48183-4601
(734) 479-7070
(734) 479-7074
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
826847
MI
Other
Enumeration date
06/06/2006
Last updated
10/20/2009
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