St Clair Specialty Physicians Pc

NPI 1154361616 - Surgery - 2086S0129X

NPI Details
NPI 1154361616
Enumeration Date 06/06/2006
Last Updated 05/16/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUKAKU JUKAKU
Position PRESIDENT
Phone (586) 218-5800
Fax (586) 532-6496
Practice Location
18001 E 10 MILE RD
SUITE 1
ROSEVILLE MI, 48066-3803, US
Phone (586) 218-5800
Fax (586) 532-6496
Business Location
45640 SCHOENHERR RD
SHELBY TOWNSHIP MI, 48315-6033, US
Phone (586) 247-4300
Fax (586) 532-6496
Toxanomy
Taxonomy Code 2086S0129X
License State
License Number
Remove 1154361616 NPI Number
 

According to our database, St Clair Specialty Physicians Pc NPI is 1154361616, taxonomy code is 2086S0129X St Clair Specialty Physicians Pc physically located at 18001 E 10 Mile Rd, Roseville MI, 48066-3803. NPI Number 1033115704 has the healthcare provider type.

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1154361616 NPI number is provided on an as is basis without warranty of any kind. 1154361616 is maintained by the National Plan & Provider Enumeration System. The contents of St Clair Specialty Physicians Pc are for informational purposes only.