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SPECIALIZED SURGEONS LLC

Surgery Yellow Pages

Livonia,, Michigan

Provider NPI: 1528072303

Organization Information:
Organization Name:  SPECIALIZED SURGEONS LLC


Practice Location:
33111 W. SEVEN MILE RD.  LIVONIA,, MI 48152 US
Tel: 248-888-8383  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
MI

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD OF MIOH20333MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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