Provider Demographics
NPI:1952362030
Name:GENERAL SURGEONS OF FLINT, P.C.
Entity Type:Organization
Organization Name:GENERAL SURGEONS OF FLINT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-579-2600
Mailing Address - Street 1:9463 HOLLY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8351
Mailing Address - Country:US
Mailing Address - Phone:810-579-2600
Mailing Address - Fax:810-579-2601
Practice Address - Street 1:9463 HOLLY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8351
Practice Address - Country:US
Practice Address - Phone:810-579-2600
Practice Address - Fax:810-579-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIHP031219208600000X
MIBS0531392086S0127X
MIOK0344532086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Not Answered2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B54952Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER