National Provider Identifier Database

MICHIGAN SURGERY SPECIALISTS PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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
* Diagnostic Radiology 2085R0202X
Computed Tomography Radiologic Technologist 2471C3401X

* Indicates primary specialty

NPI Profile & details for MICHIGAN SURGERY SPECIALISTS, P.C.

NPI Number 1316939952
Legal business name
LBN
MICHIGAN SURGERY SPECIALISTS, P.C.
Authorized official MICHELE KUDLOR - (BILLING MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/19/2005
Last updated 03/26/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301046061
  • Other: 53317 RADIATION MACHINE REGISTR
  • MI Other: 300E017160 BCBS PIN NUMBER

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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