POLYCLINIC ASSOCIATES PC NPI 1174665988

NPI Information

POLYCLINIC ASSOCIATES PC is a specialist in Southfield, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. POLYCLINIC ASSOCIATES PC NPI is 1174665988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26400 W 12 MILE RD
STE 38
SOUTHFIELD, MI
ZIP 48034-700
Phone: (248) 663-9846
Fax: (248) 663-9854

The provider's authorized official is Tom Brusseau .
The authorized official title is Mgr and has the following contact phone number (248) 663-9846.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

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:

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