Organization
MIDWESTERN SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SHAHEEN MD (PRESIDENT)
(989) 790-1001
Entity
Organization
Contact information
Practice address
999 S WASHINGTON AVENUE, SUITE #2, SAGINAW, MI 48601
(989) 790-1001
(989) 790-1002
Mailing address
999 S WASHINGTON AVENUE, SUITE #2, SAGINAW, MI 48601
(989) 790-1001
(989) 790-1002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020G310680
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/27/2006
Last updated
09/22/2009
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