Organization
SURGICAL SPECIALIST OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKASH RUSHIKUMAR SHETH M.D. (PRESIDENT)
(586) 771-8900
Entity
Organization
Contact information
Practice address
21000 E 12 MILE RD, SUITE 112, SAINT CLAIR SHORES, MI 48081-1116
(586) 771-8900
(586) 771-8901
Mailing address
21000 E 12 MILE RD, SUITE 112, SAINT CLAIR SHORES, MI 48081-1116
(586) 771-8900
(586) 771-8901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301057707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453674210
—
MI
05
—
453676010
—
MI
Enumeration date
05/01/2007
Last updated
11/08/2011
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