Organization
DETROIT SURGICAL SPECIALIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE R NUNN M.D. (PRESIDENT)
(313) 547-4900
Entity
Organization
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4900
(734) 547-4901
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4900
(734) 547-4901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AN066667
MI
Other
Enumeration date
09/26/2006
Last updated
06/29/2016
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