NPI 1295865392

Southeast Michigan Surgical Hospital, LLC

Organisation Podiatrist Warren, MI

Practice location

Address: 21230 Dequindre Rd, Warren, MI 48091-2279
Phone: (586) 427-1000
Fax: (586) 759-0237

Authorised official

Name: Jeffrey a Poulsen
Title: Cfo
Phone: (586) 427-1000

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 500100 (MI)

Other Podiatrist providers in Michigan →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Registry record

NPI: 1295865392
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 12 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.