| St Clair Adult Care Pc | |
|
25932 Dequindre Rd Ste. C Warren MI 48091-1071 | |
| (248) 859-6369 | |
| (586) 486-5552 |
| Full Name | St Clair Adult Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25932 Dequindre Rd, Warren, Michigan |
| Authorized Official Name and Position | Theodore Densley (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2488596369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clair Adult Care Pc 25932 Dequindre Rd Ste. C Warren MI 48091-1071 Ph: (248) 859-6369 | St Clair Adult Care Pc 25932 Dequindre Rd Ste. C Warren MI 48091-1071 Ph: (248) 859-6369 |
| NPI Number | 1316315575 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316315575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301039079 (Michigan) | Primary |
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