Organization
PLATINUM MANAGEMENT LLC
Active
Other names
MOVI ASC
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN NICOLE MANIS (ADMIN)
(313) 359-8300
Entity
Organization
Contact information
Practice address
5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
(313) 335-9800
(313) 359-8305
Mailing address
5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
(313) 359-8300
(313) 359-8305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
11/16/2022
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