Northeast Surgical Specialists, Pc in Clinton Twp - Surgery
Northeast Surgical Specialists, Pc - NPI 1952576431
Northeast Surgical Specialists, Pc is a Surgery in Clinton Twp, Michigan. Northeast Surgical Specialists, Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Northeast Surgical Specialists, Pc is 1952576431. The last update date is 2013-03-21.
Northeast Surgical Specialists, Pc's current location address is 43211 Dalcoma Dr, Clinton Twp, Michigan. You can contact this provider via phone number 5862868800 and fax number 5862868068. The mailing address for Northeast Surgical Specialists, Pc is 43211 Dalcoma Dr, Clinton Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Surgical Specialists, Pc |
|---|---|
| Address | 43211 Dalcoma Dr, Clinton Twp, Michigan |
| Phone Number | 5862868800 |
| Fax Number | 5862868068 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kowynia David Peter |
| Credentials | M.D. |
| Telephone Number | 5862120606 |
NPI Number Detail
| NPI Number | 1952576431 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 43211 Dalcoma Dr |
|---|---|
| City | Clinton Twp |
| State | Michigan (MI) |
| Post Code | 480386309 |
| Phone Number | 5862868800 |
| Fax Number | 5862868068 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 4301051240 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02 0502600 | MI | BLUE CROSS BLUE SHIELD OF MICH | |
| 102873117 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northeast Surgical Specialists, Pc by the Centers for Medicare & Medicaid Services?
The Northeast Surgical Specialists, Pc has been assigned the NPI (National Provider Identifier) 1952576431. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Northeast Surgical Specialists, Pc is geographically located?
The Northeast Surgical Specialists, Pc is physically situated at the following location: 43211 Dalcoma Dr, Clinton Twp, MI, 480386309.
What is the Northeast Surgical Specialists, Pc's specialty and taxonomy code?
The Northeast Surgical Specialists, Pc's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did Northeast Surgical Specialists, Pc receive its 1952576431 assignment?
The Northeast Surgical Specialists, Pc was assigned its 1952576431 on 2008-04-25, which is the date when this unique identifier was issued to the organization.
When was the information regarding Northeast Surgical Specialists, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northeast Surgical Specialists, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-21.
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