Organization
SOUTHEASTERN MICHIGAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM HEALY MAHAR (CEO, PRES.,CHAIRMAN, SEC., TREAS.)
(248) 979-2001
Entity
Organization
Contact information
Practice address
17755 WINSTON ST, DETROIT, MI 48219-3078
(248) 979-2001
(313) 977-9750
Mailing address
17755 WINSTON ST, DETROIT, MI 48219-3078
(248) 979-2001
(313) 977-9750
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
05/23/2008
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