Organization
MICHIGAN OUTPATIENT SURGERY CENTER INC
Active
Other names
Michigan Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAHDI M BASHA DO (DIRECTOR)
(586) 296-7250
Entity
Organization
Contact information
Practice address
33080 UTICA RD, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-0276
Mailing address
PO BOX 26010, FRASER, MI 48026-6010
(586) 296-7250
(586) 296-7256
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
506810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0529
BLUE CROSS
MI
Enumeration date
09/12/2006
Last updated
10/03/2022
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