Organization
NORTHERN MACOMB SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL WESEN MD (BOARD PRESIDENT)
(586) 416-7575
Entity
Organization
Contact information
Practice address
17700 23 MILE RD, SUITE 200, MACOMB, MI 48044-1154
(586) 416-7569
(586) 416-7571
Mailing address
17700 23 MILE RD, SUITE 200, MACOMB, MI 48044-1154
(586) 416-7569
(586) 416-7571
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
506857
MI
Other
Enumeration date
06/11/2008
Last updated
09/23/2008
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