SOUTH MACOMB INTERNISTS P.C. NPI 1366436511

NPI Information

SOUTH MACOMB INTERNISTS, P.C. is a multi-specialty clinic center in Warren, MI. SOUTH MACOMB INTERNISTS, P.C. NPI is 1366436511. The provider is registered as an organization entity type.

The provider's business location address is:

11900 E 12 MILE RD
SUITE 300
WARREN, MI
ZIP 48093-400
Phone: (586) 761-2072
Fax: (586) 751-1302

The provider's authorized official is Anthony Baron .
The authorized official title is Officer and has the following contact phone number (586) 751-2072.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 7/14/2007.

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:

Other Identifiers

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

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