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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
33111 W. SEVEN MILE RD. LIVONIA,, MI 48152 US
Tel: 248-888-8383 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | MI |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD OF MI | OH20333 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin