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SOUTHEASTERN MICHIGAN SERVICES INC. NPI 1558442830


NPI Information

NPI: 1558442830
Provider Name: SOUTHEASTERN MICHIGAN SERVICES, INC.
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
17755 WINSTON ST
DETROIT, MI
ZIP 48219
Phone: (248) 979-2001
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SOUTHEASTERN MICHIGAN SERVICES, INC. is a geriatric medicine family medicine in Detroit, MI. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SOUTHEASTERN MICHIGAN SERVICES, INC. NPI is 1558442830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17755 WINSTON ST
DETROIT, MI
ZIP 48219-078
Phone: (248) 979-2001
Fax: (313) 977-9750

The provider's authorized official is Adam Healy Mahar .
The authorized official title is Ceo, Pres.,chairman, Sec., Treas. and has the following contact phone number (248) 979-2001.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 5/23/2008.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

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
10M09800MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPROVIDER CODE FOR CORPOR

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: 11/14/2023

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