Organization
NORTHEAST SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JERIUS (PRESIDENT)
(586) 573-3079
Entity
Organization
Contact information
Practice address
27150 RYAN RD, WARREN, MI 48092-5124
(586) 573-3079
Mailing address
PO BOX 1048, WARREN, MI 48090-1048
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
06/01/2010
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