Organization
BEAUMONT KIDNEY SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMI SALEH ZAROUK MD (PRESIDENT)
(248) 457-7648
Entity
Organization
Contact information
Practice address
26400 W 12 MILE RD, SUITE 112, SOUTHFIELD, MI 48034-1700
(248) 457-7648
Mailing address
26400 W 12 MILE RD, SUITE 112, SOUTHFIELD, MI 48034-1700
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
05/23/2016
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