GRASS LAKE SURGERY CENTER LLC is an ambulatory surgical clinic center in Grass Lake, MI. GRASS LAKE SURGERY CENTER LLC NPI is 1790306991. The provider is registered as an organization entity type.
The provider Is Doing Business As Grass Lake Surgery Center Llc.
The provider's business location address is:
3800 CENTENNIAL BLVD
GRASS LAKE, MI
ZIP 49240
Phone: (517) 701-3100
The provider's authorized official is Timothy Ekpo .
The authorized official title is Board President and has the following contact phone number (517) 701-3100.
The CLIA number assigned to this NPI record is 23D2183051 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/29/2020 and was last updated on 3/16/2022.