Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southeast Michigan Surgical Hospital, LLC

Organization Podiatrist · NPI 1295865392

Southeast Michigan Surgical Hospital, LLC provides Podiatrist services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (586) 427-1000
Fax: (586) 759-0237
Show map & directions

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

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility. 24 of 73 are shown here.

Other providers in Warren