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Contact Information

SOUTHEASTERN MICHIGAN SERVICES, INC.
17755 WINSTON ST
DETROIT, MI48219-3078
 Phone: 248-979-2001
 Fax: 313-977-9750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN MICHIGAN SERVICES, INC.

NPI # 1558442830
LBN Legal business name SOUTHEASTERN MICHIGAN SERVICES, INC.
Authorized official ADAM MAHAR - (CEO, PRES.,CHAIRMAN, SEC., TREAS.)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 05/23/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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