| Evergreen Consulting Physicians Pc | |
|
22780 Cottage Dr Suite A Southfield MI 48033-4313 | |
| (248) 247-4438 | |
| Not Available |
| Full Name | Evergreen Consulting Physicians Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22780 Cottage Dr, Southfield, Michigan |
| Authorized Official Name and Position | Linda Jonesstephens (PRESIDENT) |
| Authorized Official Contact | 2482474438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Consulting Physicians Pc 22780 Cottage Dr Suite A Southfield MI 48033-4313 Ph: (248) 247-4438 | Evergreen Consulting Physicians Pc 22780 Cottage Dr Suite A Southfield MI 48033-4313 Ph: (248) 247-4438 |
| NPI Number | 1134384365 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134384365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101014089 (Michigan) | Primary |
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