Mso Physicians

Surgery Physician · Warren, MI

Organization Active NPI

NPI number 1124139639

Practice location

2449 E 12 Mile Rd
Warren, MI 48092-5647
Phone
(586) 558-8435

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NPI record

NPI
1124139639
Entity type
Organization (Type 2)
Enumeration date
August 31, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X — —

Mailing address

2333 Waukegan Rd
Suite175
Bannockburn, IL 60015-5508
Phone
(847) 267-0801

Authorized official

Name
Michelle Youngs
Title
Billing
Phone
(847) 374-5316

About Mso Physicians

Mso Physicians is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2449 E 12 Mile Rd, Warren, MI 48092-5647. The NPI number 1124139639 was assigned on August 31, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Michelle Youngs, Billing.

Frequently asked questions

What is the NPI number of Mso Physicians?

The NPI number is 1124139639.

What is the phone number of Mso Physicians?

The phone number listed for the practice location is (586) 558-8435.

Where is Mso Physicians located?

2449 E 12 Mile Rd, Warren, MI 48092-5647.

What is the taxonomy code for Mso Physicians?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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