Organization
NEW MILLENNIUM SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY VANDEPUTTE (ADMINISTRATOR)
(248) 281-0028
Entity
Organization
Contact information
Practice address
29201 TELEGRAPH RD, SUITE 315, SOUTHFIELD, MI 48034-1331
(248) 281-0028
(248) 281-0034
Mailing address
29201 TELEGRAPH RD, SUITE 315, SOUTHFIELD, MI 48034-1331
(248) 281-0028
(248) 281-0034
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
636926
MI
Other
Enumeration date
03/12/2007
Last updated
11/29/2012
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