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General NPI Number Information
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NPI Number | 1154447522
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Entity Type | Organization
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Legal Business Name | UNIVERSITY SURGEONS
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4160 JOHN R ST SUITE 615
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City | DETROIT
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State | MI
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Zip | 48201-2020
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Country | US
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Telephone | 313-745-4195
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 WOODWARD AVE SUITE 600
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City | DETROIT
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State | MI
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Zip | 48201-2061
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | THOMAS FALK
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Credential |
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Telephone | 313-745-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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