Provider Demographics
NPI:1649416231
Name:CLINTON PARTNERS, LLC
Entity Type:Organization
Organization Name:CLINTON PARTNERS, LLC
Other - Org Name:SURGERY CENTER OF CLINTON TOWNSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-733-6300
Mailing Address - Street 1:43475 DALCOMA DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-3591
Mailing Address - Country:US
Mailing Address - Phone:781-733-2301
Mailing Address - Fax:832-201-9262
Practice Address - Street 1:43475 DALCOMA DR
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-3591
Practice Address - Country:US
Practice Address - Phone:781-733-2301
Practice Address - Fax:832-201-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical