Organization
MICHIGAN INSTITUTE FOR ADVANCED SURGERY CENTER, LLC
Active
Other names
Michigan Institute for Advanced Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE GIBSON (SR VPO)
(214) 726-6042
Entity
Organization
Contact information
Practice address
1375 S LAPEER ROAD, SUITE 109, LAKE ORION, MI 48360
(248) 693-7950
(248) 693-2658
Mailing address
1375 S LAPEER RD STE 109, LAKE ORION, MI 48360-1421
(248) 693-7950
(248) 693-2658
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1010000067
MI
Other
Enumeration date
09/24/2006
Last updated
05/06/2026
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