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MOUNTAIN WEST SURGICAL ASSOCIATES PROF. LLC NPI 1538339098


NPI Information

NPI: 1538339098
Provider Name: MOUNTAIN WEST SURGICAL ASSOCIATES, PROF. LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
11600 15 MILE RD
SUITE 1
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 978-2951
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MOUNTAIN WEST SURGICAL ASSOCIATES, PROF. LLC is a surgery in Sterling Heights, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MOUNTAIN WEST SURGICAL ASSOCIATES, PROF. LLC NPI is 1538339098. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11600 15 MILE RD
SUITE 1
STERLING HEIGHTS, MI
ZIP 48312-100
Phone: (586) 978-2951
Fax: (586) 979-8758

The provider's authorized official is Rober Gross .
The authorized official title is Owner and has the following contact phone number (734) 458-4492.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 3/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryRG012468MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10255011765OTHERMICHIGANBCBS
21427143387MEDICAIDMICHIGAN
30P22830MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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