Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeast Michigan Surgical Hospital, LLC

Organization Podiatrist · NPI 1295865392

Southeast Michigan Surgical Hospital, LLC is a Podiatrist in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21230 Dequindre Rd
Warren, MI 48091-2279
Phone: (586) 427-1000
Fax: (586) 759-0237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 500100 (MI)
Podiatrist Taxonomy 213E00000X

Record details

NPI number1295865392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Poulsen — Cfo · (586) 427-1000
Other names Southeast Michigan Surgical Hospital
NPI enumeratedMarch 7, 2007
Last updated in NPPESApril 12, 2013
Mailing address21230 Dequindre Rd, Warren, MI 48091-2279

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