IndividualActive
Avery Roe, DO
NPI 1508660309 · Neurological Surgery Physician · Southfield, MI
Provider details
- NPI number
- 1508660309
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5151017239APP25 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
22250 Providence Dr
Southfield, MI 48075-4825
Phone: (248) 569-7745
Fax: (248) 569-4539
Approximate (ZIP-level) locationGet directions
Mailing address
3911 N Goldenrod St
Maize, KS 67101-3741
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.