Organization
CENTER HEALTH SURGERY CENTER LLC
Active
Other names
Detroit Children's Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
30671 STEPHENSON HWY STE F, MADISON HEIGHTS, MI 48071-1635
(313) 544-3614
Mailing address
30671 STEPHENSON HWY STE F, MADISON HEIGHTS, MI 48071-1635
(313) 544-3614
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
05/14/2024
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