| Organization Name: | NORTHWEST SURGICAL & MEDICAL COMPREHENSIVE SERVICES PC |
| NPI Number: | 1538504626 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARL BANDLIEN (PHYSICIAN) |
| Mailing Address: | 9600 Dexter Ave Detroit |
| State: | MI US |
| Postal Code: | 482061816 |
| Phone Number: | 3138947881 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2013 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301046832 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |