DEARBORN ALLERGY & ASTHMA CLINIC PC NPI 1477545200

NPI Information

DEARBORN ALLERGY & ASTHMA CLINIC PC is a clinical and laboratory immunology allergy immunology in Dearborn, MI. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. DEARBORN ALLERGY & ASTHMA CLINIC PC NPI is 1477545200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20200 OUTER DR
DEARBORN, MI
ZIP 48124-634
Phone: (313) 565-3565
Fax: (313) 565-7723

The provider's authorized official is Kathy Short .
The authorized official title is Office Manager and has the following contact phone number (313) 565-3565.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 4/24/2012.

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.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.