Organization
SOUTHEAST MICHIGAN SURGICAL HOSPITAL, LLC
Active
Other names
Southeast Michigan Surgical Hospital, Insight Surgical Hospital
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 48091-2279
(586) 427-1000
(586) 759-0237
Mailing address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(586) 427-1000
(586) 759-0237
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
500100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00297
BCBS PROVIDER ID #
MI
01
—
00947
CAPE MEDICAL PROV ID#
MI
05
—
404554179
—
MI
Enumeration date
07/28/2005
Last updated
05/01/2025
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