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

Michigan Institute for Laparoscopic Surgery PC

Organization Surgery Physician · NPI 1063850329

Michigan Institute for Laparoscopic Surgery PC provides Surgery Physician services in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5807 W Maple Rd Ste 175
West Bloomfield, MI 48322-4483
Phone: (248) 255-4380
Fax: (248) 255-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301086396 (MI)

Record details

NPI number1063850329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Laker — Owner/Physician · (248) 255-4380
NPI enumeratedJune 10, 2013
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing addressPo Box 251742, West Bloomfield, MI 48325-1742

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