Organization
PIONEER ENDOSCOPY & SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHAITH M IBRAHIM MD (BOARD EXECUTIVE)
(586) 215-7476
Entity
Organization
Contact information
Practice address
36401 VAN DYKE AVE, STERLING HEIGHTS, MI 48312-2763
(586) 757-6400
(586) 757-8400
Mailing address
PO BOX 370, STERLING HEIGHTS, MI 48311-0370
(586) 771-0270
(586) 343-8870
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
05/30/2023
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