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Organization

ROCHESTER GENERAL SURGERY PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL M SULLIVAN MD (PARTNER)
(248) 853-9177
Entity
Organization

Contact information

Practice address
75 BARCLAY CIR, SUITE 200, ROCHESTER HILLS, MI 48307-4508
(248) 853-9177
(248) 853-7258
Mailing address
75 BARCLAY CIR, SUITE 200, ROCHESTER HILLS, MI 48307-4508
(248) 853-9177
(248) 853-7258

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020F317850
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
11/15/2006
Last updated
06/08/2022
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