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NORTH CLINIC P.C. NPI 1992033864


NPI Information

NPI: 1992033864
Provider Name: NORTH CLINIC, P.C.

Doing Business As: PETER H. GAGGOS, D.O.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
20041 WEST EIGHT MILE ROAD
NORTH CLINIC, P.C.
DETROIT, MI
ZIP 48219
Phone: (313) 532-5030
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NORTH CLINIC, P.C. 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. NORTH CLINIC, P.C. NPI is 1992033864. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peter H. Gaggos, D.o..

The provider's business location address is:

20041 WEST EIGHT MILE ROAD
NORTH CLINIC, P.C.
DETROIT, MI
ZIP 48219
Phone: (313) 532-5030
Fax: (313) 532-0552

The provider's authorized official is Peter H. Gaggos .
The authorized official title is President and has the following contact phone number (313) 532-5030.

The enumeration date for this NPI number is 12/3/2009 and was last updated on 12/2/2010.


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
1MI2301001MEDICARE PINMICHIGAN
2E24677MEDICARE UPINMICHIGAN
31025621MEDICAIDMICHIGAN

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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