Organization
ALLIANCE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA INGLIS WOLLAM (CLINICAL ADMINISTRATOR)
(231) 252-1228
Entity
Organization
Contact information
Practice address
3663 NORTH COUNTRY DRIVE, TRAVERSE CITY, MI 49684-4587
(231) 499-4419
Mailing address
3663 N COUNTRY DRIVE, TRAVERSE CITY, MI 49684-4587
(231) 252-1228
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
12/09/2021
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