Organization
MICHIGAN SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLIE GALOVICH CPC (BILLER)
(248) 593-9780
Entity
Organization
Contact information
Practice address
16100 19 MILE RD STE 100B, CLINTON TOWNSHIP, MI 48038-1148
(586) 286-0000
(586) 286-0005
Mailing address
16100 19 MILE RD STE 100B, CLINTON TOWNSHIP, MI 48038-1148
(586) 286-0000
(586) 286-0005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101011584
MI
208600000X
Surgery Physician
Primary
5101017430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3056329475
BCBS
MI
Enumeration date
11/02/2010
Last updated
06/22/2012
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