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Southeast Michigan Surgical Hospital, Llc
Specialist in Warren, Michigan
NPI 1679605570

Southeast Michigan Surgical Hospital, Llc is a Specialist based in Warren, MI. Southeast Michigan Surgical Hospital, Llc practices in Warren, MI. The NPI Number for Southeast Michigan Surgical Hospital, Llc is 1679605570 and holds a License No. (Michigan).

The current practice location address for Southeast Michigan Surgical Hospital, Llc is 21230 Dequindre Rd, Warren, MI and can be reached out via phone at 586-427-1000 and via fax at 586-759-0237.

Location: 21230 Dequindre Rd, Warren, MI, 48091-2279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679605570
Provider Name
Southeast Michigan Surgical Hospital, Llc
Credential
Provider Entity Type
Organization
Address
21230 Dequindre Rd, Warren, MI, 48091-2279
Phone Number
586-427-1000
Fax Number
586-759-0237
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0E01458 01 MI BCBS MEDICAL DOCTORS
2619390 05 MI
0E01458 01 MI BCBS PROVIDER ID#
institution
Provider Business Practice Location Address Details
Address
21230 Dequindre Rd
City
Warren
State
Michigan
Zip
48091-2279
Phone Number
586-427-1000
Fax Number
586-759-0237
person
Provider Business Mailing Address Details
Address
21230 Dequindre Rd
City
Warren
State
Michigan
Zip
48091-2279
Phone Number
586-427-1000
Fax Number
586-759-0237
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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