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ASSOCIATED PHYSICIANS OF DEARBORN PLLC NPI 1982636460


NPI Information

NPI: 1982636460
Provider Name: ASSOCIATED PHYSICIANS OF DEARBORN, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 23D0370560

Address:
4700 GREENFIELD RD
DEARBORN, MI
ZIP 48126
Phone: (313) 945-6100
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ASSOCIATED PHYSICIANS OF DEARBORN, PLLC is a multi-specialty clinic center in Dearborn, MI. ASSOCIATED PHYSICIANS OF DEARBORN, PLLC NPI is 1982636460. The provider is registered as an organization entity type.

The provider's business location address is:

4700 GREENFIELD RD
DEARBORN, MI
ZIP 48126-124
Phone: (313) 945-6100
Fax: (313) 945-5260

The provider's authorized official is Lois Anderson .
The authorized official title is Office Manager and has the following contact phone number (313) 945-6100.

The CLIA number assigned to this NPI record is 23D0370560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/12/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-Specialty=========MICHIGANYes

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
1700H217510OTHERMICHIGANBLUE CROSS
20N13770MEDICARE 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

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.