Healthcare Provider Details

I. General information

NPI: 1053115873
Provider Name (Legal Business Name): STARRWOOD SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 STARR RD
ROYAL OAK MI
48073-2100
US

IV. Provider business mailing address

5280 METROPOLITAN PKWY
STERLING HEIGHTS MI
48310-4005
US

V. Phone/Fax

Practice location:
  • Phone: 248-844-4835
  • Fax: 248-844-5672
Mailing address:
  • Phone: 248-844-4835
  • Fax: 248-844-5672

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: ANDREW KRASS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 248-218-4120