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THE SURGICAL GROUP OF SW MICHIGAN PC NPI 1588611750


NPI Information

NPI: 1588611750
Provider Name: THE SURGICAL GROUP OF SW MICHIGAN PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1535 GULL RD
SUITE 020
KALAMAZOO, MI
ZIP 49048
Phone: (269) 381-4577
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THE SURGICAL GROUP OF SW MICHIGAN PC is a vascular surgery surgery in Kalamazoo, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. THE SURGICAL GROUP OF SW MICHIGAN PC NPI is 1588611750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1535 GULL RD
SUITE 020
KALAMAZOO, MI
ZIP 49048-650
Phone: (269) 381-4577

The provider's authorized official is John T Collins .
The authorized official title is President and has the following contact phone number (269) 381-4577.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/25/2010.


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
12086S0129XSurgeryVascular 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
10M84600MEDICARE PIN

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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