Organization · Type 2 NPI

Providence Ventures, LLC

Ambulatory Surgical Clinic/Center · Novi, MI

NPI number 1659574283 Active

Practice location

26750 Providence Pkwy Ste 100
Novi, MI 48374-1211

Fax (248) 662-1501

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

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

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NPI record

NPI: 1659574283
Entity type: Organization (Type 2)
Issued: Jun 10, 2007
Last updated: Dec 19, 2019
Status: Active

Other names

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Bone and Joint Surgery Center of Novi · doing business as
Bone and Joint Surgery Center of Novi · doing business as

Authorized official

Marc A. Borovoy, DPM
Governing Board President/chairman
(248) 388-5842

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659574283

Providence Ventures, LLC's National Provider Identifier is 1659574283, issued on Jun 10, 2007. 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 Dec 19, 2019.