Unknown Individual – Surgery Physician, NPI 1720017486
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
25900 GREENFIELD RD STE 140
OAK PARK, MI 482371267
Phone: (248) 965-3269
Fax: (248) 965-2203
Type: Mailing
21610 E 9 Mile Rd
Saint Clair Shores, MI 480801812
Phone: (586) 775-6010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48237)
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