Organization · Type 2 NPI

Sixty Fourth Street LLC

Ambulatory Surgical Clinic/Center · Byron Center, MI

NPI number 1164538286 Active

About NPI 1164538286

Sixty Fourth Street LLC's National Provider Identifier is 1164538286, issued on Aug 22, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Byron Center, MI. The record was last updated on Apr 23, 2018.