Organization
SOUTH EASTERN MICHIGAN COLON & RECTAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEWUNMI ADEYEMO DO (OWNER)
(743) 722-6300
Entity
Organization
Contact information
Practice address
3106 S WAYNE RD, WAYNE, MI 48184-1221
(734) 722-1063
(734) 722-4815
Mailing address
3106 S WAYNE RD, WAYNE, MI 48184-1221
(734) 722-1063
(734) 722-4815
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497119689
—
MI
Enumeration date
04/13/2016
Last updated
11/17/2020
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