MEDICARE: ALLIED SURGEONS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	4301025281	MI

General Provider Information

NPI Number	:	1588862601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED SURGEONS, P.C.

Provider Business Mailing Address
First Line	:	5301 ISLE ROYAL CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-3432
Country	:	US
Telephone Number	:	248-538-0206
Fax Number	:	248-538-0406

Provider Business Practice Location Address
First Line	:	5301 ISLE ROYAL CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-3432
Country	:	US
Telephone Number	:	248-538-0206
Fax Number	:	248-538-0406

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARNOLD L LESHMAN
Credential	:	M.D.
Telephone Number	:	248-538-0206

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	09/24/2007

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