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NORTHSIDE MEDICAL CLINIC MANAGEMENT COMPANY NPI 1720059660


NPI Information

NPI: 1720059660
Provider Name: NORTHSIDE MEDICAL CLINIC MANAGEMENT COMPANY
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14001 GREENFIELD RD
DETROIT, MI
ZIP 48227
Phone: (313) 273-1200
Get Directions

NORTHSIDE MEDICAL CLINIC MANAGEMENT COMPANY is a family medicine in Detroit, 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. NORTHSIDE MEDICAL CLINIC MANAGEMENT COMPANY NPI is 1720059660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14001 GREENFIELD RD
DETROIT, MI
ZIP 48227-101
Phone: (313) 273-1200
Fax: (313) 273-8130

The provider's authorized official is Jerome Frankel .
The authorized official title is President and has the following contact phone number (313) 273-1200.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 12/18/2009.


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 MedicineYes

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
10N14570MEDICARE PINMICHIGAN

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: 11/14/2023

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