Organization
SURGICAL SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GEORGESON D.O. (PHYSICIAN/OWNER)
(586) 228-0798
Entity
Organization
Contact information
Practice address
16151 19 MILE RD, SUITE #301, CLINTON TWP, MI 48038-1158
(586) 228-0798
(586) 228-1084
Mailing address
16151 19 MILE RD, SUITE #301, CLINTON TWP, MI 48038-1158
(586) 228-0798
(586) 228-1084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AG009192
MI
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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