ALAN P PETER DO PC NPI 1174625420

NPI Information

  • NPI: 1174625420
  • Provider Name: ALAN P PETER DO PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MACOMB FAMILY MEDICAL CENTER
  • Address: 16800 24 MILE RD
    SUITE 4
    MACOMB TWP, MI
    ZIP 48042
  • Phone: (586) 992-9970

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NPI Details

ALAN P PETER DO PC is a family medicine in Macomb Twp, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALAN P PETER DO PC NPI is 1174625420. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Macomb Family Medical Center.

The provider's business location address is:

16800 24 MILE RD
SUITE 4
MACOMB TWP, MI
ZIP 48042
Phone: (586) 992-9970
Fax: (586) 992-9972

The provider's authorized official is Alan P Peter .
The authorized official title is Owner President and has the following contact phone number (586) 992-9970.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 12/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101014745MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114933018MEDICAIDMICHIGAN
20E02052OTHERMICHIGANBCBS GROUP PIN
30P37230MEDICARE PINMICHIGAN
4H75669MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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