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

Avery Roe, DO

Individual provider Neurological Surgery Physician · NPI 1508660309

Avery Roe, DO is a Neurological Surgery Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

22250 Providence Dr
Southfield, MI 48075-4825
Phone: (248) 569-7745
Fax: (248) 569-4539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 5151017239APP25 (MI)

Record details

NPI number1508660309
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address3911 N Goldenrod St, Maize, KS 67101-3741

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