Organization
EYE SURGERY CENTER OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVID GROSINGER MD (MEDICAL DIRECTOR)
(248) 333-2900
Entity
Organization
Contact information
Practice address
3455 LIVERNOIS, TROY, MI 48083-5063
(248) 619-2020
Mailing address
3455 LIVERNOIS RD, TROY, MI 48083-5063
(248) 619-2020
(248) 619-7150
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
11/02/2007
Last updated
03/22/2021
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