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Northeast Surgical Specialists, PC

Surgery Physician in Clinton Twp, MI · enumerated 2008 · authorized official Peter Kowynia, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952576431

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Surgical Specialists, PC
Practice address 43211 Dalcoma Dr, Suite 4, Clinton Twp, MI, 48038
Fax (586) 286-8068
Enumeration date Apr 25, 2008
Last updated in NPPES Mar 21, 2013

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 4301051240 (MI) Primary

Authorized official

Name Peter Kowynia
Title Owner

Other identifiers

Identifier Type State Issuer
02 0502600 Other MI BLUE CROSS BLUE SHIELD OF MICHIGAN
102873117 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-03-21. Verify at npiregistry.cms.hhs.gov.
Where is Northeast Surgical Specialists, PC located?
The practice location on file with NPPES is in Clinton Twp, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-21.