Organization
MICHIGAN AMBULATORY SURGICAL CENTER, LLC
Active
Other names
Specialty Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUSTINE BRECKENRIDGE CORDAY (ADMINISTRATOR)
(248) 206-2990
Entity
Organization
Contact information
Practice address
22000 GREENFIELD RD, OAK PARK, MI 48237-2500
(248) 206-2990
(248) 206-2991
Mailing address
22000 GREENFIELD RD, OAK PARK, MI 48237-2500
(248) 206-2990
(248) 206-2991
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
04/14/2020
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