Organization
ORTHOPAEDIC SURGICAL INSTITUTE
Active
Parent organization
ROCHESTER ENDOSCOPY & SURGERY CENTER, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCHESTER ENDOSCOPY & SURGERY CENTER, PLLC
Authorized official
MRS. CANDISS E BOWEN (BOARD EXECUTIVE)
(248) 601-0040
Entity
Organization
Contact information
Practice address
1349 S ROCHESTER RD, SUITE 250, ROCHESTER HILLS, MI 48307-3150
(248) 601-0040
Mailing address
1349 S ROCHESTER RD, SUITE 250, ROCHESTER HILLS, MI 48307-3150
(248) 601-0040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40091
BCBS OF MI
MI
Enumeration date
06/18/2012
Last updated
05/06/2013
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