Organization
CUKROWSKI SURGERY CENTER PC
Active
Other names
East Michigan Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER F CUKROWSKI DO (PRESIDENT)
(810) 238-3603
Entity
Organization
Contact information
Practice address
701 S BALLENGER HWY, FLINT, MI 48532-3804
(810) 238-3603
(810) 767-5194
Mailing address
701 S BALLENGER HWY, FLINT, MI 48532-3804
(810) 238-3603
(810) 767-5194
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
256815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40027
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
P00303573
PALMETTO GBA RAILROAD MEDICARE
MI
Enumeration date
10/04/2006
Last updated
09/28/2023
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