Organization
ASSOCIATED SURGICAL CENTER OF DEARBORN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN YALDO MD (OWNER)
(313) 202-9400
Entity
Organization
Contact information
Practice address
24420 FORD RD, DEARBORN HEIGHTS, MI 48127-3233
(734) 673-5917
Mailing address
24420 FORD RD, DEARBORN HEIGHTS, MI 48127-3233
(734) 673-5917
(314) 667-6915
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH1373
RR PTAN
MI
Enumeration date
07/20/2011
Last updated
09/01/2014
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