| St Clair Adult Medicine Pc | |
|
22201 Moross Rd Ste 150 Detroit MI 48236-2152 | |
| (313) 886-8787 | |
| (313) 886-4106 |
| Full Name | St Clair Adult Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22201 Moross Rd Ste 150, Detroit, Michigan |
| Authorized Official Name and Position | Mary Beth Hardwicke (PRESIDENT) |
| Authorized Official Contact | 5867784080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clair Adult Medicine Pc 23411 Jefferson Ave Ste 101 Saint Clair Shores MI 48080-1949 Ph: (586) 778-4080 | St Clair Adult Medicine Pc 22201 Moross Rd Ste 150 Detroit MI 48236-2152 Ph: (313) 886-8787 |
| NPI Number | 1871529552 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871529552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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