Organization
MINIMAL INVASIVE SURGERY CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G LODER DPM (OWNER)
(586) 329-3895
Entity
Organization
Contact information
Practice address
15760 19 MILE RD STE C, CLINTON TOWNSHIP, MI 48038-6319
(586) 329-3895
(586) 698-1574
Mailing address
15760 19 MILE RD STE C, CLINTON TOWNSHIP, MI 48038-6319
(586) 329-3895
(586) 698-1574
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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