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Contact Information

SOUTHEAST MICHIGAN NEUROSURGERY PLLC
3535 WEST 13 MILE ROAD
SUITE 504
ROYAL OAK, MI48073
 Phone: 248-551-3020
 Fax: 248-551-3019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHEAST MICHIGAN NEUROSURGERY PLLC

NPI # 1437334257
LBN Legal business name SOUTHEAST MICHIGAN NEUROSURGERY PLLC
Authorized official KAROL ZAKALIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2007
Last updated 10/21/2016 - About 10 years ago
Identifiers
MI License # 4301050230
MI Medicaid 2769781-10
MI Other 140F344180 BCBSM
MI Other DG8023 MEDICARE RAILROAD
MI Other PTAN P00455528 MEDICARE RAILROAD
MI Other OP52120 PTAN
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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