Healthcare Provider Details

I. General information

NPI: 1437107844
Provider Name (Legal Business Name): THE CENTER FOR GASTROINTESTINAL HEALTH AT HEALTH PARK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HEALTH PARK BOULVARD SUITE E
GRAND BLANC MI
48439
US

IV. Provider business mailing address

3495 S CENTER RD
BURTON MI
48519-1455
US

V. Phone/Fax

Practice location:
  • Phone: 810-603-8201
  • Fax: 810-603-8214
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN DONNELLY
Title or Position: AUTHORIZED OFFICIAL
Credential: RN, BSN, MA
Phone: 810-424-2025