Organization
SOUTHEAST MICHIGAN SURGICAL HOSPITAL LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NADIR IJAZ (DIRECTOR)
(810) 275-9371
Entity
Organization
Contact information
Practice address
21230 DEQUINDRE RD, WARREN, MI 48091
(586) 427-1000
(586) 427-4921
Mailing address
21230 DEQUINDRE RD, WARREN, MI 48091
(586) 427-1000
(586) 427-4921
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4554160
—
MI
Enumeration date
04/27/2007
Last updated
11/25/2019
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