Organization
SUMMIT MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLIE GALOVICH CPC (BILLER)
(248) 390-0459
Entity
Organization
Contact information
Practice address
8560 N SILVERY LN, SUITE 202, DEARBORN HEIGHTS, MI 48127-4515
(313) 581-3255
(313) 581-3755
Mailing address
8560 N SILVERY LN, SUITE202, DEARBORN HEIGHTS, MI 48127-4515
(313) 581-3255
(313) 581-3755
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
5101008800
MI
207L00000X
Anesthesiology Physician
510010514
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301031988
MI
207Q00000X
Family Medicine Physician
5101016943
MI
207X00000X
Orthopaedic Surgery Physician
510014180
MI
207X00000X
Orthopaedic Surgery Physician
5101013938
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301083370
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301096741
MI
2083A0100X
Aerospace Medicine Physician
5101015292
GA
2084N0400X
Neurology Physician
430175238
MI
2084N0400X
Neurology Physician
4304373315
MI
2084N0600X
Clinical Neurophysiology Physician
5101008581
MI
2085R0202X
Diagnostic Radiology Physician
5101011584
MI
208600000X
Surgery Physician
5101017430
MI
208D00000X
General Practice Physician
Primary
4301040917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E031220
BCBS
MI
Enumeration date
07/21/2010
Last updated
01/09/2012
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