Organization
MICHIGAN ENDOSCOPY CENTER AT PROVIDENCE PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIN TRAHEY (ADMINISTRATOR)
(248) 465-9220
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER AVE STE D-110, NOVI, MI 48374-1233
(248) 465-9220
(248) 347-1915
Mailing address
47601 GRAND RIVER AVE STE D-110, NOVI, MI 48374-1233
(248) 465-9220
(248) 347-1915
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
11/04/2025
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