Organization
LAKES SURGICARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G. DANIEL SHANAHAN IV DPM (GOVERNANCE)
(248) 360-3888
Entity
Organization
Contact information
Practice address
9640 COMMERCE RD STE 102, COMMERCE TWP, MI 48382-4167
(248) 360-3888
(248) 363-0894
Mailing address
9640 COMMERCE RD STE 102, COMMERCE TWP, MI 48382-4167
(248) 360-3888
(248) 363-0894
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2007
Last updated
11/10/2007
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