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Organization

LANSING SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN WALLING DO (MEDICAL DIRECTOR)
(517) 267-0033
Entity
Organization

Contact information

Practice address
1707 LAKE LANSING RD, LANSING, MI 48912-3742
(517) 267-0033
(517) 267-0430
Mailing address
1707 LAKE LANSING RD, LANSING, MI 48912-3742
(517) 267-0033
(517) 267-0430

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
336816
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C37000
BCBSM 2ND
MI
01
40354
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/07/2006
Last updated
03/13/2008
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