Organization
NORTHEAST SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY MCQUISTON DO (MANAGING PARTNER)
(586) 228-0550
Entity
Organization
Contact information
Practice address
17375 HALL RD, MACOMB, MI 48044-4060
(586) 228-0550
(586) 228-8830
Mailing address
17375 HALL RD, MACOMB, MI 48044-4060
(586) 228-0550
(586) 228-8830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MI
Other
Enumeration date
09/20/2006
Last updated
01/15/2015
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