| Michigan Institute Of Medicine Pc | |
|
38525 8 Mile Rd Livonia MI 48152-1012 | |
| (734) 542-5512 | |
| (734) 542-3115 |
| Full Name | Michigan Institute Of Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 38525 8 Mile Rd, Livonia, Michigan |
| Authorized Official Name and Position | Keith Jeffrey Pierce (PRESIDENT) |
| Authorized Official Contact | 3135633332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Institute Of Medicine Pc 38525 8 Mile Rd Livonia MI 48152-1012 Ph: (734) 542-5512 | Michigan Institute Of Medicine Pc 38525 8 Mile Rd Livonia MI 48152-1012 Ph: (734) 542-5512 |
| NPI Number | 1760538821 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760538821 | NPI | - | NPPES |
| 1108225041 | Other | MI | BLUE SHIELD |
| 4905908 -10 | Medicaid | MD | |
| 110H225041 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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