Grosse Pointe Surgical & Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301046832 Issued in MI

Legal business name

GROSSE POINTE SURGICAL & MEDICAL SERVICES PC

Practice address

18348 Mack Ave
Grosse Pointe Farms, MI 48236-3219

Phone

(313) 881-7010

NPI assigned

May 7, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karl Bandlien, MD

Title

Physician

Phone

(313) 894-7881

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1518302355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18348 MACK AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363219",
            "telephone_number": "313-881-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18348 MACK AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363219",
            "telephone_number": "313-881-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE POINTE SURGICAL & MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "BANDLIEN",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-894-7881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301046832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Ellen Greene
• Grosse Pointe Anesthesiologists, PC
• Grosse Pointe Comprehensive Care
• Grosse Pointe Family Dentistry
• Grosse Pointe Physiatry, PLLC
• Raul Jaime Guerrero, M.D.
• Cherell Hardon
• Culver J Harrison, LPC
• David Hartter, R.PH.
• Healing Pointes PLC

• Family Medicine Physician in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.