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NPI 1447425236 Active Internal Medicine

Quick Facts

NPI Number

1447425236

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2008-04-23

Last Updated (NPPES)

2008-07-08

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`

Practice Address

43171 DALCOMA DR STE 8
CLINTON TWP, MI 480386307

Phone: 248-608-1408

Fax: 248-608-1408

Mailing Address

115 SCARBOROUGH
ROCHESTER HILLS, MI 483064385

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