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MICHIGAN COLON & RECTAL SURGEONS PC NPI 1093749095


NPI Information

NPI: 1093749095
Provider Name: MICHIGAN COLON & RECTAL SURGEONS, PC

Other Name: MCRS

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
18161 W 13 MILE RD
SUITE A1
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 644-3711
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MICHIGAN COLON & RECTAL SURGEONS, PC is a colon rectal surgery in Southfield, MI. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. MICHIGAN COLON & RECTAL SURGEONS, PC NPI is 1093749095. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mcrs.

The provider's business location address is:

18161 W 13 MILE RD
SUITE A1
SOUTHFIELD, MI
ZIP 48076-113
Phone: (248) 644-3711
Fax: (248) 644-2864

The provider's authorized official is Ginger G Kleinert .
The authorized official title is Office Manager and has the following contact phone number (248) 644-3711.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10F36140MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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