South Macomb Internists, P.c. | |
11900 E 12 Mile Rd Suite 300 Warren MI 48093-3400 | |
(586) 761-2072 | |
(586) 751-1302 |
Full Name | South Macomb Internists, P.c. |
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Speciality | Clinic/center - Multi-specialty |
Location | 11900 E 12 Mile Rd, Warren, Michigan |
Authorized Official Name and Position | Anthony Baron (OFFICER) |
Authorized Official Contact | 5867512072 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Macomb Internists, P.c. 11900 E 12 Mile Rd Suite 300 Warren MI 48093-3400 Ph: (586) 761-2072 | South Macomb Internists, P.c. 11900 E 12 Mile Rd Suite 300 Warren MI 48093-3400 Ph: (586) 761-2072 |
NPI Number | 1366436511 |
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Provider Enumeration Date | 09/02/2005 |
Last Update Date | 07/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366436511 | NPI | - | NPPES |
700E06357 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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