Organization
SOUTHGATE CT, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PAUL VOLLMAN DO (PRESIDENT)
(734) 281-6600
Entity
Organization
Contact information
Practice address
15304 TRENTON RD, SOUTHGATE, MI 48195-2027
(734) 281-6600
Mailing address
15304 TRENTON RD, SOUTHGATE, MI 48195-2027
(734) 281-6600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003984
CAPE MEDICAL
MI
01
—
028642
MIDWEST HEALTH PLAN
MI
01
—
0H22339
BLUE CROSS BLUE SHIELD MI
MI
01
—
0Q26265
HAP
MI
01
—
141261
PREFERRED CHOICES
MI
01
—
7588661
AETNA
MI
01
—
DC6466
RAILROAD MEDICARE
MI
01
—
L182034
M-CARE
MI
Enumeration date
07/18/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up