Lakes Surgicare Center

NPI #1588844237 in Commerce Twp, Michigan

Provider Information

NPI Number
1588844237
Entity Type
Organization
Organization Name
Lakes Surgicare Center
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Nov 10, 2007
Last Updated
Nov 10, 2007

Practice Location

Address
9640 COMMERCE RD STE 102
ZIP Code
48382-4167
Phone
(248) 360-3888

Authorized Official

Name
DR. G. DANIEL SHANAHAN IV, DPM
Title
GOVERNANCE
Phone
(248) 360-3888

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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