Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greater Lakes Ambulatory Surgical Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1679717466

Greater Lakes Ambulatory Surgical Center, LLC is an Ambulatory Surgical Clinic/Center in Clinton Township, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16100 19 Mile Rd Ste 100
Clinton Township, MI 48038-1148
Phone: (586) 286-0000
Fax: (586) 286-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 506836 (MI)

Record details

NPI number1679717466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Brynaert — Administrator/Director · (586) 286-0000
Other names Greater Lakes Ambulatory Surgery Center
NPI enumeratedApril 24, 2009
Last updated in NPPESDecember 28, 2016
Mailing address16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148

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