Provider Demographics
NPI:1518367234
Name:SURGICAL CENTERS OF MICHIGAN, LLC
Entity Type:Organization
Organization Name:SURGICAL CENTERS OF MICHIGAN, LLC
Other - Org Name:ANETHESIA SCM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER MEDICAL BILLING OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHALEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-726-8423
Mailing Address - Street 1:1701 SOUTH BLVD E
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6122
Mailing Address - Country:US
Mailing Address - Phone:248-844-9710
Mailing Address - Fax:248-844-9784
Practice Address - Street 1:4600 INVESTMENT DR
Practice Address - Street 2:SUITE 270
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-6365
Practice Address - Country:US
Practice Address - Phone:586-726-8423
Practice Address - Fax:586-726-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty