South Eastern Michigan Colon & Rectal Surgery

LBN: South Eastern Michigan Colon & Rectal Surgery
South Eastern Michigan Colon & Rectal Surgery is an health care organization with primary practice located at 3106 S Wayne Rd , Wayne MI 48184-1221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. South Eastern Michigan Colon & Rectal Surgery can be contacted via phone (734) 722-1063, or through Adeyemo, Adewunmi via phone (743) 722-6300.

Contact Information

Primary practice address
3106 S Wayne Rd Wayne MI 48184-1221
Phone: (734) 722-1063
Fax: (734) 722-4815
Website:
Map and Directions
Authorized official contact:
Name: Adeyemo, Adewunmi Doctor of Osteopathy (DO)
Phone: (743) 722-6300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X

Profile Details

NPI number 1497119689
LBN Legal business name South Eastern Michigan Colon & Rectal Surgery
DBA Doing business as
Authorized official Adeyemo, Adewunmi Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2016
Last updated Nov 17th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497119689 NPPES
Michigan MEDICAID 1497119689

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