Organization
WATERFORD SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR SUCCAR M.D. (MEDICAL DIRECTOR)
(248) 889-4580
Entity
Organization
Contact information
Practice address
5220 HIGHLAND RD, SUITE 100, WATERFORD, MI 48327-1975
(248) 889-4580
(248) 889-4582
Mailing address
5220 HIGHLAND RD, SUITE 100, WATERFORD, MI 48327-1975
(248) 889-4580
(248) 889-4582
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MI
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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