| Mi House Physician Pc | |
|
17515 W 9 Mile Rd Suite 730 Southfield MI 48075-4403 | |
| (248) 233-6463 | |
| Not Available |
| Full Name | Mi House Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17515 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Florence E Thomas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2482336463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi House Physician Pc 17515 W 9 Mile Rd Suite 730 Southfield MI 48075-4403 Ph: (248) 233-6463 | Mi House Physician Pc 17515 W 9 Mile Rd Suite 730 Southfield MI 48075-4403 Ph: (248) 233-6463 |
| NPI Number | 1649721796 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649721796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301074204 (Michigan) | Primary |
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