Healthcare Provider Details

I. General information

NPI: 1083417844
Provider Name (Legal Business Name): A2 CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 WASHTENAW AVE STE B
ANN ARBOR MI
48104-4558
US

IV. Provider business mailing address

2320 WASHTENAW AVE STE B
ANN ARBOR MI
48104-4558
US

V. Phone/Fax

Practice location:
  • Phone: 734-913-5100
  • Fax:
Mailing address:
  • Phone: 734-913-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY BALLARD
Title or Position: CO-OWNER, MANAGER
Credential: MD
Phone: 734-913-5100