Organization · Type 2 NPI
Grass Lake Surgery Center LLC
Ambulatory Surgical Clinic/Center · Grass Lake, MI
NPI number
1790306991
Active
Practice location
3800 Centennial Blvd
Grass Lake, MI 49240
Mailing address
3800 Centennial Dr
Grass Lake, MI 49240-8961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
About NPI 1790306991
Grass Lake Surgery Center LLC's National Provider Identifier is 1790306991, issued on Apr 29, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Grass Lake, MI. The record was last updated on May 6, 2026.