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Contact Information

MICHIGAN SURGERY SPECIALISTS, P.C.
11012 THIRTEEN MILE ROAD
SUITE 111
WARREN, MI48093
 Phone: 586-558-8470
 Fax: 586-558-8481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Computed Tomography Radiologic Technologist

2471C3401X
Indicates primary specialty

NPI Profile & details for MICHIGAN SURGERY SPECIALISTS PC · (Female)

NPI # 1316939952
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2005
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301046061
  • Other 53317 RADIATION MACHINE REGISTR
  • MI Other 300E017160 BCBS PIN NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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