Organization · NPI-2

Michigan Colon & Rectal Surgeons, PC

Colon & Rectal Surgery · Southfield, MI

NPI number1093749095
StatusActive
Last updated in NPPESMay 21, 2009

Details

NPI
1093749095
Entity type
Organization (NPI-2)
Legal business name
Michigan Colon & Rectal Surgeons, PC
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
May 21, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery––Yes

Other names

  • Mcrs (Other Name)

Practice location

18161 W 13 Mile Rd
Suite A1
Southfield, MI 48076-1113

Phone 248-644-3711 · Fax 248-644-2864

Mailing address

18161 W 13 Mile Rd.
Suite B-1
Southfield, MI 48076

Phone 248-644-3711 · Fax 248-644-2864

Authorized official

Ginger G Kleinert
Office Manager
2486443711

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