| Surmounting Llc | |
|
12866 Fort St Southgate MI 48195-1060 | |
| (734) 720-7920 | |
| Not Available |
| Full Name | Surmounting Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12866 Fort St, Southgate, Michigan |
| Authorized Official Name and Position | Ingrid Lewis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3139300258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surmounting Llc 20831 Ridgemont Rd Harper Woods MI 48225-1137 Ph: (313) 930-0258 | Surmounting Llc 12866 Fort St Southgate MI 48195-1060 Ph: (734) 720-7920 |
| NPI Number | 1861249815 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 06/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861249815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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