Southfield Endoscopy Asc Llc

NPI 1104899855 - Clinic/Center - 261QA1903X

NPI Details
NPI 1104899855
Enumeration Date 02/10/2006
Last Updated 04/03/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILLIP A PHILLIP
Position PRESIDENT
Phone (248) 269-5594
Fax (248) 269-6546
Practice Location
264 W MAPLE RD
SUITE 100
TROY MI, 48084-5435, US
Phone (248) 269-5594
Fax (248) 269-6546
Business Location
264 W MAPLE RD
SUITE 100
TROY MI, 48084-5435, US
Phone (248) 269-5594
Fax (248) 269-6546
Toxanomy
Taxonomy Code 261QA1903X
License State Michigan
License Number 636911
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According to our database, Southfield Endoscopy Asc Llc NPI is 1104899855, taxonomy code is 261QA1903X and license number is 636911, license state is located at Michigan. Southfield Endoscopy Asc Llc physically located at 264 W Maple Rd, Troy MI, 48084-5435. NPI Number 1033115704 has the healthcare provider type.

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1104899855 NPI number is provided on an as is basis without warranty of any kind. 1104899855 is maintained by the National Plan & Provider Enumeration System. The contents of Southfield Endoscopy Asc Llc are for informational purposes only.