Organization
BIRMINGHAM SURGICAL CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NUNNALLY D.O. (OWNER / AUTHORIZED OFFICIAL)
(248) 990-2469
Entity
Organization
Contact information
Practice address
1528 CROOKS RD, ROYAL OAK, MI 48067-1305
(248) 990-2469
Mailing address
1528 CROOKS RD, ROYAL OAK, MI 48067-1305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101016846
MI
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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