Organization · Type 2 NPI
Michigan Endoscopy Center at Providence Park
Ambulatory Surgical Clinic/Center · Novi, MI
NPI number
1306283957
Active
Practice location
47601 Grand River Ave Ste D-110
Novi, MI 48374-1233
Fax (248) 347-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Novi
About NPI 1306283957
Michigan Endoscopy Center at Providence Park's National Provider Identifier is 1306283957, issued on May 22, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Novi, MI. The record was last updated on Nov 4, 2025.