| Macomb Internal Med Ctr Pc | |
|
12296 12 Mile Rd Warren MI 48093 | |
| (586) 751-5720 | |
| (586) 751-2206 |
| Full Name | Macomb Internal Med Ctr Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12296 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Gina Rivera (OFFICE MANAGER) |
| Authorized Official Contact | 5867515720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Internal Med Ctr Pc 12296 12 Mile Rd Warren MI 48093 Ph: (586) 751-5720 | Macomb Internal Med Ctr Pc 12296 12 Mile Rd Warren MI 48093 Ph: (586) 751-5720 |
| NPI Number | 1568671550 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568671550 | NPI | - | NPPES |
| OP56670 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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