| Infectious Disease | |
|
28080 Grand River Ave Suite 306 Farmington Hills MI 48336-5966 | |
| (947) 521-8314 | |
| Not Available |
| Full Name | Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 28080 Grand River Ave, Farmington Hills, Michigan |
| Authorized Official Name and Position | Lesley Willbrandt (DIRECTOR SHARED SERVICES) |
| Authorized Official Contact | 9475221911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease 26901 Beaumont Blvd Southfield MI 48033-3849 Ph: () - | Infectious Disease 28080 Grand River Ave Suite 306 Farmington Hills MI 48336-5966 Ph: (947) 521-8314 |
| NPI Number | 1467494138 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467494138 | NPI | - | NPPES |
| 2869043 | Medicaid | MI | |
| 440F370180 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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