Organization
GRASS LAKE SURGERY CENTER LLC
Active
Other names
Grass Lake Surgery Center LLC, Grass Lake Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE GIBSON (SR VPO)
(214) 726-6042
Entity
Organization
Contact information
Practice address
3800 CENTENNIAL BLVD, GRASS LAKE, MI 49240
(517) 701-3100
Mailing address
3800 CENTENNIAL DR, GRASS LAKE, MI 49240-8961
(517) 701-3100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
05/06/2026
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