Provider Demographics
NPI:1164460085
Name:ENDOSCOPIC SOLUTIONS PC
Entity type:Organization
Organization Name:ENDOSCOPIC SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VESLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:STECEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-625-4055
Mailing Address - Street 1:5701 BOW POINTE DR.
Mailing Address - Street 2:SUITE 370
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346
Mailing Address - Country:US
Mailing Address - Phone:248-625-4055
Mailing Address - Fax:248-625-4085
Practice Address - Street 1:5701 BOW POINTE DR.
Practice Address - Street 2:SUITE 370
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346
Practice Address - Country:US
Practice Address - Phone:248-625-4055
Practice Address - Fax:248-625-4085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301069946OtherLICENSE
H78445Medicare UPIN
0P32350Medicare PIN