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DEARBORN SURGERY CENTER LLC NPI 1467491407


NPI Information

NPI: 1467491407
Provider Name: DEARBORN SURGERY CENTER, LLC

Doing Business As: DEARBORN SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
18100 OAKWOOD BLVD
SUITE 100
DEARBORN, MI
ZIP 48124
Phone: (313) 253-2000
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DEARBORN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Dearborn, MI. DEARBORN SURGERY CENTER, LLC NPI is 1467491407. The provider is registered as an organization entity type.
The provider Is Doing Business As Dearborn Surgery Center.

The provider's business location address is:

18100 OAKWOOD BLVD
SUITE 100
DEARBORN, MI
ZIP 48124-071
Phone: (313) 253-2000
Fax: (313) 253-2004

The provider's authorized official is Barry M Cullen .
The authorized official title is Board Manager and has the following contact phone number (313) 982-3040.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical826846MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P17750MEDICARE UPINMICHIGAN
223C0001059MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPROVIDER NUMBER

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

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