Northeast Surgical Group PC

NPI #1700984200 in Macomb, Michigan

Provider Information

NPI Number: 1700984200
Entity Type: Organization
Organization Name: Northeast Surgical Group PC
Primary Specialty: Surgery
Enumeration Date: Sep 20, 2006
Last Updated: Jan 15, 2015

Practice Location

Address: 17375 HALL RD
City: Macomb
State: Michigan
ZIP Code: 48044-4060
Phone: (586) 228-0550

Authorized Official

Name: DR. JAMES HENRY MCQUISTON, DO
Title: MANAGING PARTNER
Phone: (586) 228-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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