Organization
MIDWEST SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
4700 SCHAEFER RD, DEARBORN, MI 48126-3698
(313) 581-2600
(313) 581-0228
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
10/21/2021
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