Organization
LIVONIA OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY NODLAND (CHIEF EXECUTIVE OFFICER)
(734) 452-7111
Entity
Organization
Contact information
Practice address
33400 6 MILE RD, SUITE B, LIVONIA, MI 48152-3143
(810) 623-1482
Mailing address
33400 6 MILE RD, SUITE B, LIVONIA, MI 48152-3143
(347) 452-7111
(734) 452-7129
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
02/15/2011
Last updated
07/16/2024
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