East Paris Surgical Center, LLC
NPI #1194798959 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1194798959
- Entity Type
- Organization
- Organization Name
- East Paris Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1000 E PARIS AVE SE
- Address 2
- SUITE LL01
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-3680
- Phone
- (616) 464-3430
Authorized Official
- Name
- KATHY J MOSLEY, BS
- Title
- FACILITY ADMINISTRATOR
- Phone
- (616) 949-2001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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