Organization
MOVI ASC MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS KASSAB M.D. (OWNER)
(313) 359-8300
Entity
Organization
Contact information
Practice address
5250 AUTO CLUB DRIVE, SUITE 170, DEARBORN, MI 48126-2619
(313) 359-8300
(313) 359-8036
Mailing address
5250 AUTO CLUB DRIVE, SUITE 170, DEARBORN, MI 48126-2619
(313) 359-8300
(313) 359-8036
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
03/11/2020
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