Southeast Michigan Medical Group, PC

NPI #1952530883 in Romulus, Michigan

Provider Information

NPI Number: 1952530883
Entity Type: Organization
Organization Name: Southeast Michigan Medical Group, PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 13, 2009
Last Updated: Jul 13, 2009

Practice Location

Address: 16018 S HURON RIVER DR
City: Romulus
State: Michigan
ZIP Code: 48174-3619
Phone: (419) 343-8537

Authorized Official

Name: GLENN VANCE DREGANSKY, D.O.
Title: PRESIDENT
Phone: (419) 343-8537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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