| Infectious Diseases Of Michigan Pc | |
|
4400 Dixie Hwy Suite A Waterford MI 48329-3567 | |
| (248) 332-8404 | |
| (248) 332-0952 |
| Full Name | Infectious Diseases Of Michigan Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4400 Dixie Hwy, Waterford, Michigan |
| Authorized Official Name and Position | Franklin J Rosenblat (OWNER/PRESIDENT) |
| Authorized Official Contact | 2483328404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Of Michigan Pc Po Box 69 Walled Lake MI 48390-0069 Ph: (248) 332-8404 | Infectious Diseases Of Michigan Pc 4400 Dixie Hwy Suite A Waterford MI 48329-3567 Ph: (248) 332-8404 |
| NPI Number | 1992957708 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992957708 | NPI | - | NPPES |
| 0F36896 | Other | MI | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 5101010780 (Michigan) | Primary |
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