Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Other names
Livonia Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTOPHER MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
19900 HAGGERTY RD, LIVONIA, MI 48152
(734) 462-1888
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
810060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40029
BC OF MI LIVONIA ASC
MI
Enumeration date
10/02/2006
Last updated
05/03/2021
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