Organization
ADVANCED LAPAROSCOPIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHENGELIS M.D. (OWNER)
(248) 291-6516
Entity
Organization
Contact information
Practice address
1380 COOLIDGE HWY STE 200, TROY, MI 48084-7068
(248) 291-6516
(248) 291-6518
Mailing address
1380 COOLIDGE HWY STE 200, TROY, MI 48084-7068
(248) 291-6516
(248) 291-6518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301058821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3364385
—
MI
Enumeration date
09/16/2011
Last updated
06/17/2020
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