Organization · Type 2 NPI
Michigan Institute for Advanced Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Lake Orion, MI
NPI number
1619077211
Active
Practice location
1375 S Lapeer Road, Suite 109
Lake Orion, MI 48360
Fax (248) 693-2658
Mailing address
1375 S Lapeer Rd Ste 109
Lake Orion, MI 48360-1421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 1010000067 (MI) |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Lake Orion
About NPI 1619077211
Michigan Institute for Advanced Surgery Center, LLC's National Provider Identifier is 1619077211, issued on Sep 24, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lake Orion, MI. The record was last updated on May 6, 2026.