NPI 1689662926

Midland Surgical Group PC

Organisation Surgery Physician Midland, MI

Practice location

Address: 4007 Orchard Dr Suite 2003, Midland, MI 48640-6187
Phone: (989) 631-1221
Fax: (989) 631-6686
Mailing address: 4007 Orchard Dr Suite 2003, Midland, MI 48640-6190

Authorised official

Name: Ellsworth Emil Ludwig
Title: President
Phone: (989) 631-1221

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 040961 (MI)

Other Surgery providers in Michigan →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 047857 (MI)

Registry record

NPI: 1689662926
Entity type: Organization
NPI issued: 11 Oct 2005
Record last updated: 1 Oct 2010

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.