Organization
MACOMB SURGICAL ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J GILIBERTO JR. DO (PRESIDENT)
(586) 228-3800
Entity
Organization
Contact information
Practice address
21510 HARRINGTON ST STE 102, CLINTON TWP, MI 48036-2378
(586) 228-3800
(586) 228-9800
Mailing address
21510 HARRINGTON ST STE 102, CLINTON TWP, MI 48036-2378
(586) 228-3800
(586) 228-9800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
013279
MI
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
007081
MI
2086S0129X
Vascular Surgery Physician
008771
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125953
—
MI
05
—
3464424
—
MI
05
—
4401008
—
MI
05
—
4837559
—
MI
Enumeration date
10/18/2006
Last updated
07/26/2024
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