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MICHELE PENNINGTON MD FAMILY MEDICAL PLLC NPI 1366484693


NPI Information

NPI: 1366484693
Provider Name: MICHELE PENNINGTON MD FAMILY MEDICAL PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
25775 W 10 MILE RD
SUITE B
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 304-9400
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MICHELE PENNINGTON MD FAMILY MEDICAL PLLC is a family medicine in Southfield, 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. MICHELE PENNINGTON MD FAMILY MEDICAL PLLC NPI is 1366484693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25775 W 10 MILE RD
SUITE B
SOUTHFIELD, MI
ZIP 48034-856
Phone: (248) 304-9400
Fax: (248) 304-9401

The provider's authorized official is Michele Pennington .
The authorized official title is Owner/physician and has the following contact phone number (248) 304-9400.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/17/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301070192MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N67500MEDICARE PINMICHIGAN
2H20427MEDICARE UPINMICHIGAN
30801975377OTHERMICHIGANRAILROAD MEDICARE
40806346602OTHERMICHIGANBCBC BCN

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: 4/28/2024

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