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General NPI Number Information
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NPI Number | 1184828451
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Entity Type | Organization
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Legal Business Name | MICHIGAN SURGERY SPECIALISTS, P.C.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 11012 E 13 MILE RD STE 112
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City | WARREN
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State | MI
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Zip | 48093-2546
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Country | US
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Telephone | 586-751-3380
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Fax | 586-751-0950
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Provider Business Mailing Address
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Address Line | 31201 CHICAGO RD S STE C302
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City | WARREN
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State | MI
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Zip | 48093-5553
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Country | US
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Telephone | 586-582-0864
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Fax | 586-582-0964
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MICHELE L KUDLOR
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Credential |
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Telephone | 586-459-5592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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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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