Dr JEFFREY A OSGUTHORPE is a male medical professional, specializing in Maxillofacial Surgery. He graduated in 2001 from Univ Of Calif, San Francisco School Of Dentistry.
SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC
15870 19 MILE RD
CLINTON TOWNSHIP
MI
480383527
Tel: 5862861600
| Npi | 1427127422 |
| Pac Id | 8426231440 |
| Professional Enrollment Id | I20110328000810 |
| Last Name | OSGUTHORPE |
| First Name | JEFFREY |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY |
| Graduation Year | 2001 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
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| Organization Legal Name | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
| Group Practice Pac Id | 5991772287 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 15870 19 MILE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 480383527 |
| Phone Number | 5862861600 |
| Hospital Affiliation Ccn 1 | 230029 |
| Hospital Affiliation Lbn 1 | ST JOSEPH MERCY OAKLAND |
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| Professional Accepts Medicare Assignment | Y |
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