Organization
HALL ROAD ASC LLC
Active
Other names
Mrs., Michigan Surgical Utica
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE GREENBLATT (EXECUTIVE ADMINISTRATOR)
(248) 740-0658
Entity
Organization
Contact information
Practice address
11051 HALL RD STE 100, UTICA, MI 48317-5737
(248) 740-0658
Mailing address
130 TOWN CENTER DR STE 101, TROY, MI 48084-1744
(248) 740-0658
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
04/28/2026
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