Lakeshore Surgical Consultants, Plc

NPI #1912322009 in Trenton, Michigan

Provider Information

NPI Number: 1912322009
Entity Type: Organization
Organization Name: Lakeshore Surgical Consultants, Plc
Primary Specialty: Surgery
Enumeration Date: Feb 26, 2014
Last Updated: Feb 26, 2014

Practice Location

Address: 5400 FORT ST
Address 2: SUITE 200
City: Trenton
State: Michigan
ZIP Code: 48183-4632
Phone: (734) 250-0610

Authorized Official

Name: MR. GARY AMES JR.
Title: TREASURER
Phone: (734) 250-0610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Pediatric Surgery — Pediatric Surgery	2086S0120X
Surgery - Surgical Critical Care — Surgical Critical Care	2086S0102X
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Surgery	208600000X	Primary

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