Surgical Specialty Group Llc in Clinton Twp - Surgery
Surgical Specialty Group Llc - NPI 1215122437
Surgical Specialty Group Llc is a Surgery in Clinton Twp, Michigan. Surgical Specialty Group Llc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Surgical Specialty Group Llc is 1215122437. The last update date is 2007-09-11.
Surgical Specialty Group Llc's current location address is 16151 19 Mile Rd, Clinton Twp, Michigan. You can contact this provider via phone number 5862280798 and fax number 5862281084. The mailing address for Surgical Specialty Group Llc is 16151 19 Mile Rd, Clinton Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgical Specialty Group Llc |
|---|---|
| Address | 16151 19 Mile Rd, Clinton Twp, Michigan |
| Phone Number | 5862280798 |
| Fax Number | 5862281084 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Georgeson Andrew |
| Credentials | D.O. |
| Telephone Number | 5862280798 |
NPI Number Detail
| NPI Number | 1215122437 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 16151 19 Mile Rd |
|---|---|
| City | Clinton Twp |
| State | Michigan (MI) |
| Post Code | 480381158 |
| Phone Number | 5862280798 |
| Fax Number | 5862281084 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | AG009192 |
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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; |
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What is the Surgical Specialty Group Llc's unique identification number?
The Surgical Specialty Group Llc has been assigned the NPI (National Provider Identifier) Number 1215122437 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Surgical Specialty Group Llc is physically located?
The Surgical Specialty Group Llc is situated at the following address: 16151 19 Mile Rd, Clinton Twp, MI 480381158.
What is Surgical Specialty Group Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Surgical Specialty Group Llc is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215122437 to Surgical Specialty Group Llc?
The Centers for Medicare & Medicaid Services originally issued the 1215122437 to Surgical Specialty Group Llc on 2007-09-11.
As of what date were the details related to Surgical Specialty Group Llc most recently updated or revised?
The information pertaining to Surgical Specialty Group Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-11.
NPI Number: 1376546309
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