# SOUTHEASTERN MICHIGAN CARDIOVASCULAR SURGEONS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeastern Michigan Cardiovascular Surgeons PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710021712
- **Authorized official:** PHILLIP L ROBINSON, M.D. M.D. (OWNER)
- **Authorized official phone:** (248) 643-8633

## Contact information

- **Practice address:** 1663 W BIG BEAVER RD, TROY, MI 48084
- **Practice address phone:** (248) 643-8633
- **Practice address fax:** (248) 643-8680
- **Mailing address:** 1663 W BIG BEAVER RD, TROY, MI 48084
- **Mailing address phone:** (248) 643-8633
- **Mailing address fax:** (248) 643-8680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 07/29/2008
