Organization
MICHIGAN SURGERY SPECIALISTS, P.C.
Active
Parent organization
MICHIGAN SURGERY SPECIALISTS, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN SURGERY SPECIALISTS, P.C.
Authorized official
DANIEL ODDO (EXECUTIVE DIRECTOR)
(586) 806-8726
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD STE 250, SHELBY TOWNSHIP, MI 48315-3141
(586) 251-2851
(586) 961-6445
Mailing address
11012 E 13 MILE RD STE 112, WARREN, MI 48093-2546
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50505
MDSCRIPTS
MI
Enumeration date
08/07/2019
Last updated
08/25/2023
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