Organization
SURGICAL CENTERS OF MICHIGAN, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FOREMAN-LOVELL (ADMINISTRATOR)
(248) 514-3056
Entity
Organization
Contact information
Practice address
4600 INVESTMENT DR, STE 270, TROY, MI 48098-6365
(586) 726-8423
(586) 726-8557
Mailing address
4600 INVESTMENT CENTER DR. SUTE 270, TROY, MI 48098-6375
(248) 267-6222
(248) 267-8347
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
636907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40001
BLUE CROSS BLUE SHIELD MI
MI
01
—
636907
MI STATE LICENSE
MI
Enumeration date
03/29/2006
Last updated
11/17/2025
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