Organization
BEAUMONT WEST BLOOMFIELD ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T FOX (CEO)
(248) 213-3334
Entity
Organization
Contact information
Practice address
6900 ORCHARD LAKE ROAD, SUITE LL100, WEST BLOOMFIELD, MI 48322
(248) 406-2400
(248) 406-2401
Mailing address
6900 ORCHARD LAKE ROAD, SUITE LL100, WEST BLOOMFIELD, MI 48322
(248) 406-2400
(248) 406-2401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1010000081
MI
Other
Enumeration date
07/08/2007
Last updated
12/21/2015
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