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Organization

MICHIGAN SURGERY SPECIALISTS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE L KUDLOR (BILLING MANAGER)
(586) 459-5592
Entity
Organization

Contact information

Practice address
11012 E 13 MILE RD STE 112, WARREN, MI 48093-2546
(586) 751-3380
(586) 751-0950
Mailing address
31201 CHICAGO RD S STE C302, WARREN, MI 48093-5553
(586) 582-0864
(586) 582-0964

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207XS0106X
Orthopaedic Hand Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208200000X
Plastic Surgery Physician
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
2085R0202X
Diagnostic Radiology Physician
208600000X
Surgery Physician
Primary
2086S0105X
Surgery of the Hand (Surgery) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700E063760
BCBS GROUP #
MI
01
OEO6376
MEDICARE
MI
Enumeration date
06/12/2007
Last updated
10/07/2025
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