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

Spectrum Surgical Specialist PC

Organization Surgery Physician · NPI 1609286384

Spectrum Surgical Specialist PC is a Surgery Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6001 W Outer Dr Ste 320
Detroit, MI 48235-2614
Phone: (313) 920-5543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301086474 (MI)

Record details

NPI number1609286384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manish Khare — M.D. · (313) 920-5543
NPI enumeratedMay 2, 2014
Last updated in NPPESMay 6, 2014
Mailing address3181 Troy Dr, Troy, MI 48083-5098

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