Organization
MICHIGAN PEDIATRIC SURGERY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI L SADLOCHA CPC CGSC (BILLING MANAGER)
(313) 831-0459
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 831-3220
(313) 831-3908
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 831-3220
(313) 831-3908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020H277290
BCBS OF MI GROUP ID
MI
Enumeration date
11/14/2006
Last updated
03/03/2014
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