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

Eastside Trauma & Specialty Surgeons

Organization Surgery Physician · NPI 1730395419

Eastside Trauma & Specialty Surgeons provides Surgery Physician services in Saint Clair Shores, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

24911 Little Mack Ave Ste B
Saint Clair Shores, MI 48080-3200
Phone: (586) 774-8811
Fax: (586) 774-6773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1730395419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdelkader Hawasli — President · (586) 774-8811
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address24911 Little Mack Ave, Suite B, Saint Clair Shores, MI 48080-3200

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