| Doctors Of Internal Medicine Pllc | |
|
30335 W 13 Mile Rd Ste 100 Farmington Hills MI 48334-2262 | |
| (248) 626-6500 | |
| (248) 855-0190 |
| Full Name | Doctors Of Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30335 W 13 Mile Rd Ste 100, Farmington Hills, Michigan |
| Authorized Official Name and Position | Steven D Grant (SOLE MBR) |
| Authorized Official Contact | 2486266500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Of Internal Medicine Pllc 30335 W 13 Mile Rd Ste 100 Farmington Hills MI 48334-2262 Ph: (248) 626-6500 | Doctors Of Internal Medicine Pllc 30335 W 13 Mile Rd Ste 100 Farmington Hills MI 48334-2262 Ph: (248) 626-6500 |
| NPI Number | 1194244715 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7416215165 |
|---|---|
| Medicare Enrollment ID | O20171229001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194244715 | NPI | - | NPPES |
| 1311041 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven D Grant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770564692 PECOS PAC ID: 0749271872 Enrollment ID: I20080813000278 |
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