Organization · NPI-2
Comprehensive Surgical Associates PLLC
Surgery · West Bloomfield, MI
NPI number1023615754
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1023615754
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Surgical Associates PLLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
7001 Orchard Lake Rd Ste 220West Bloomfield, MI 48322-3606
Phone 248-313-2829
Mailing address
7001 Orchard Lake Rd Ste 220West Bloomfield, MI 48322-3606
Phone 248-313-2829
Authorized official
Ehssan Zare
President
2483132829
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