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Organization
DEARBORN SURGICAL ASSOCIATES P.C.
Active
Organization
DEARBORN SURGICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RANDOLPH LULEK M.D. (PRESIDENT/GENERAL/VASCULAR SURGEON)
(313) 271-8560
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 209, DEARBORN, MI 48124-5032
(313) 271-8560
(313) 271-2831
Mailing address
18181 OAKWOOD BLVD, SUITE 209, DEARBORN, MI 48124-5032
(313) 271-8560
(313) 271-2831
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C12780
RAILROAD MEDICARE GROUP #
MI
Enumeration date
04/18/2006
Last updated
09/11/2025
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