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Organization
ACADEMIC SURGERY PROGRAM, P.C.
Active
Organization
ACADEMIC SURGERY PROGRAM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNE L HOSHAL JR. (PRESIDENT)
(734) 712-3971
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 2115, YPSILANTI, MI 48197-1014
(734) 712-3971
Mailing address
5333 MCAULEY DR, SUITE 2115, YPSILANTI, MI 48197-1014
(734) 712-3971
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
VH026433
MI
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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