# MICHIGAN SURGERY SPECIALISTS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHIGAN SURGERY SPECIALISTS, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881165157
- **Legal business name:** MICHIGAN SURGERY SPECIALISTS, P.C.
- **Authorized official:** DANIEL ODDO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (586) 806-8726

## Contact information

- **Practice address:** 22731 NEWMAN ST STE 100A, DEARBORN, MI 48124-2031
- **Practice address phone:** (313) 561-4910
- **Practice address fax:** (313) 561-8561
- **Mailing address:** 11012 E 13 MILE RD STE 112, WARREN, MI 48093-2546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 08/25/2023