Organization
WEST BLOOMFIELD SURGERY CENTER, LLC
Active
Other names
Lakes Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
2300 HAGGERTY RD, SUITE 1000, WEST BLOOMFIELD, MI 48323-2184
(248) 896-6300
(248) 896-6321
Mailing address
2300 HAGGERTY RD, SUITE 1000, WEST BLOOMFIELD, MI 48323-2184
(248) 896-6300
(248) 896-6321
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
63-6923
MI
Other
Enumeration date
05/17/2006
Last updated
01/04/2024
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