Healthcare Provider Details

I. General information

NPI: 1710037221
Provider Name (Legal Business Name): STRAITH HOSPITAL FOR SPECIAL SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 11/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23901 LAHSER RD
SOUTHFIELD MI
48033-6035
US

IV. Provider business mailing address

23901 LAHSER RD
SOUTHFIELD MI
48033
US

V. Phone/Fax

Practice location:
  • Phone: 248-357-3360
  • Fax:
Mailing address:
  • Phone: 248-357-3360
  • Fax: 248-357-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JANET RYS
Title or Position: CEO
Credential: RN
Phone: 248-357-3360