Organization · Type 2 NPI

Executive Ambulatory Surgical Center, LLC

Ambulatory Surgical Clinic/Center · Dearborn, MI

NPI number 1386056356 Active

Practice location

17000 Executive Plaza Dr, Suite 301
Dearborn, MI 48126-2793

Call (313) 408-6613 Map

Mailing address

17000 Executive Plaza Dr Ste 301
Dearborn, MI 48126-2793

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1386056356

Executive Ambulatory Surgical Center, LLC's National Provider Identifier is 1386056356, issued on May 27, 2014. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Dearborn, MI. The record was last updated on Nov 20, 2025.