Organization
GREATER LAKES AMBULATORY SURGICAL CENTER, LLC
Active
Other names
Greater Lakes Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ANITA BRYNAERT RN, BSN, RNFA (ADMINISTRATOR/DIRECTOR)
(586) 286-0000
Entity
Organization
Contact information
Practice address
16100 19 MILE RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1148
(586) 286-0000
(586) 286-0005
Mailing address
16100 19 MILE RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1148
(586) 286-0000
(586) 286-0005
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
506836
MI
Other
Enumeration date
04/24/2009
Last updated
12/28/2016
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