Grand River Surgery Center, LLC
NPI #1124605910 in East Lansing, Michigan
Provider Information
- NPI Number
- 1124605910
- Entity Type
- Organization
- Organization Name
- Grand River Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 26, 2021
- Last Updated
- Dec 8, 2021
Practice Location
- Address
- 1090 TROWBRIDGE RD STE A
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-5220
- Phone
- (517) 220-0240
Authorized Official
- Name
- DR. DOUGLAS DIETZEL, DO
- Title
- CEO
- Phone
- (517) 488-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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