Organization
GUAT SY JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUAT SIA SY JR. MD (PRESIDENT)
(313) 271-2990
Entity
Organization
Contact information
Practice address
17000 HUBBARD DR, STE 700, DEARBORN, MI 48126-4205
(313) 271-2990
(313) 271-1698
Mailing address
17000 HUBBARD DR, STE 700, DEARBORN, MI 48126-4205
(313) 271-2990
(313) 271-1698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301040071
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301040071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020H237340
BCN GROUP
MI
05
—
1780686469
—
MI
05
—
2929938-10
—
MI
01
—
4079900
AETNA
MI
01
—
B45647
HAP
MI
01
—
DP0095
RAILROAD MEDICARE
MI
Enumeration date
08/12/2005
Last updated
08/07/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us