Healthcare Provider Details

I. General information

NPI: 1972677060
Provider Name (Legal Business Name): COLUMBIA SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W BIG BEAVER RD SUITE 1130
TROY MI
48084-4152
US

IV. Provider business mailing address

201 W BIG BEAVER RD SUITE 1130
TROY MI
48084-4152
US

V. Phone/Fax

Practice location:
  • Phone: 248-524-0620
  • Fax: 248-524-0934
Mailing address:
  • Phone: 248-524-0620
  • Fax: 248-524-0934

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: DR. MICHAEL JOHN SCHENDEN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 248-524-0620