MICHIGAN ADVANCED SURGICAL CENTER PLLC NPI 1033730098

NPI Information

NPI: 1033730098
Provider Name: MICHIGAN ADVANCED SURGICAL CENTER, PLLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
27101 SCHOENHERR RD STE 300
WARREN, MI
ZIP 48088
Phone: (586) 434-3210
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MICHIGAN ADVANCED SURGICAL CENTER, PLLC is an ambulatory surgical clinic center in Warren, MI. MICHIGAN ADVANCED SURGICAL CENTER, PLLC NPI is 1033730098. The provider is registered as an organization entity type.

The provider's business location address is:

27101 SCHOENHERR RD STE 300
WARREN, MI
ZIP 48088-700
Phone: (586) 434-3210
Fax: (586) 434-3214

The provider's authorized official is Jeffrey A Poulsen .
The authorized official title is Cfo and has the following contact phone number (586) 434-3211.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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