OrganizationActive
Intraoperative Monitoring of Sem PLLC
NPI 1740750439 · Electrodiagnostic Medicine Physician · Lake Orion, MI
Provider details
- NPI number
- 1740750439
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Billing Manager(214) 269-3875
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
710 King Cir
Lake Orion, MI 48362-2782
Phone: (214) 269-3875
Fax: (903) 328-6568
Approximate (ZIP-level) locationGet directions
Mailing address
43422 W Oaks Dr # 430
Novi, MI 48377-3300
Registry dates
- Enumerated
- 2018-11-26
- Last updated
- 2018-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.