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GENERAL AND INTERNAL MEDICINE NPI 1376700294


NPI Information

NPI: 1376700294
Provider Name: GENERAL AND INTERNAL MEDICINE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1064 W WEST BRANCH RD
PRUDENVILLE, MI
ZIP 48651
Phone: (989) 366-4800
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GENERAL AND INTERNAL MEDICINE is a clinic center in Prudenville, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GENERAL AND INTERNAL MEDICINE NPI is 1376700294. The provider is registered as an organization entity type.

The provider's business location address is:

1064 W WEST BRANCH RD
PRUDENVILLE, MI
ZIP 48651-468
Phone: (989) 366-4800

The provider's authorized official is Marvin Mcelroy .
The authorized official title is Owner and has the following contact phone number (989) 366-4800.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center4301403219MICHIGANYes

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
107229883-01-02MEDICARE PIN

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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