| Shores Medical Associates Pllc | |
|
25200 Little Mack Ave Saint Clair Shores MI 48081-2116 | |
| (586) 774-8720 | |
| (586) 774-7154 |
| Full Name | Shores Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25200 Little Mack Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Arnold Edwin Ketels (CFO) |
| Authorized Official Contact | 5867748720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shores Medical Associates Pllc 25200 Little Mack Ave Saint Clair Shores MI 48081-2116 Ph: (586) 774-8720 | Shores Medical Associates Pllc 25200 Little Mack Ave Saint Clair Shores MI 48081-2116 Ph: (586) 774-8720 |
| NPI Number | 1316104094 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316104094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | CK008071 (Michigan) | Primary |
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