Provider Demographics
NPI:1164246542
Name:AMERICAN SURGICAL CENTERS - ANN ARBOR LLC
Entity type:Organization
Organization Name:AMERICAN SURGICAL CENTERS - ANN ARBOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:BILJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-312-9886
Mailing Address - Street 1:710 AVIS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-9517
Mailing Address - Country:US
Mailing Address - Phone:734-719-8900
Mailing Address - Fax:
Practice Address - Street 1:710 AVIS DR STE 100
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-9517
Practice Address - Country:US
Practice Address - Phone:734-719-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN SURGICAL CENTERS - ANN ARBOR LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty