Southeast Michigan Surgical Hospital, Llc
Podiatry Clinic
21230 Dequindre Rd, Warren
Michigan, 48091-2279
586-427-1000 586-759-0237
Maps & DirectionsSoutheast Michigan Surgical Hospital, Llc is a
Podiatry Clinic in
Warren, Michigan. It is situated at 21230 Dequindre Rd, Warren and its contact number is 586-427-1000. The authorized person of Southeast Michigan Surgical Hospital, Llc is
Mr. Jeffrey A Poulsen
who is Cfo of the clinic and their contact number is
586-427-1000. Primary license number of Southeast Michigan Surgical Hospital, Llc is
500100 for Podiatry Clinic in Michigan.
Southeast Michigan Surgical Hospital, Llc has qualified podiatrists who can diagnose and treat foot diseases and deformities and can accordingly perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Podiatric treatment can be helpful in treating day-to-day foot problems, like toenail problems (such as thickened toenails, fungal nail infections or ingrown toenails), corns and calluses (hard or thick areas of skin), verrucas (small lumps on the skin), athlete's foot, flat feet,
bunions, heel pain, ageing feet, blisters, gout, sports injuries etc.
Complete Profile:
Southeast Michigan Surgical Hospital, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Clinic Address: | 21230 Dequindre Rd, Warren,
Michigan, 48091-2279 |
| Phone: | 586-427-1000 |
| Fax: | 586-759-0237 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jeffrey A Poulsen |
| Position: | Cfo |
| Contact Number: | 586-427-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southeast Michigan Surgical Hospital, Llc Clinic are as mentioned below.
| NPI Number: | 1295865392 |
| NPI Enumeration Date: | 07 Mar, 2007 |
| NPI Last Update On: | 12 Apr, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Michigan Surgical Hospital, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | 500100 | Michigan | Primary | |
| Podiatrist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0E00146 | Other | Michigan | Podiatrist Group Id # |
| 0E01458 | Other | Michigan | Bcbs Provider Id # |
| 2619390 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southeast Michigan Surgical Hospital, Llc
21230 Dequindre Rd,
Warren, Michigan |
| Zip: | 48091-2279 |
| Phone Number: | 586-427-1000 |
| Fax Number: | 586-759-0237 |
Patients can reach Southeast Michigan Surgical Hospital, Llc at
21230 Dequindre Rd, Warren, Michigan or can
call to book an appointment on 586-427-1000.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.