| Southeast Michigan Surgical Hospital, Llc | |
|
21230 Dequindre Rd, Warren, MI 48091-2279 | |
| (586) 427-1000 | |
| (586) 759-0237 |
| Full Name | Southeast Michigan Surgical Hospital, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 21230 Dequindre Rd, Warren, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295865392 | NPI | - | NPPES |
| 0E00146 | Other | MI | PODIATRIST GROUP ID # |
| 0E01458 | Other | MI | BCBS PROVIDER ID # |
| 2619390 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | 500100 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Michigan Surgical Hospital, Llc 21230 Dequindre Rd, Warren, MI 48091-2279 Ph: (586) 427-1000 | Southeast Michigan Surgical Hospital, Llc 21230 Dequindre Rd, Warren, MI 48091-2279 Ph: (586) 427-1000 |
Balanced Podiatry Care Podiatrist Medicare: Medicare Enrolled Practice Location: 30205 Schoenherr Rd Ste A, Warren, MI 48088 Phone: 586-751-1288 Fax: 586-299-2001 | |
Dr. Tariq Elagamy, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 596-574-0500 | |
Dr Anthony Weinert Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3272 E 12 Mile Rd, Suite 101, Warren, MI 48092 Phone: 586-751-3338 Fax: 586-751-3312 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 | |
Dr. Gary Mauro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3701 E 13 Mile Rd, Warren, MI 48092 Phone: 586-979-1060 | |
Edward S. Gordon Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 25656 Schoenherr Road, Warren, MI 48089 Phone: 586-779-4820 Fax: 586-779-9535 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 |