Organization
MICHIGAN SPECIALTY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR-KIANOOSH FALLAHI MD (MEDICAL DIRECTOR)
(810) 953-0500
Entity
Organization
Contact information
Practice address
6886 SASHABAW ROAD, CLARKSTON, MI 48348-4732
(248) 707-3112
(248) 707-3113
Mailing address
6886 SASHABAW ROAD, CLARKSTON, MI 48348-4732
(248) 707-3112
(248) 707-3113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
11/01/2023
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