Gladstone Anthony Payton in Mount Clemens - Family Medicine

Gladstone Anthony Payton - NPI 1184617854

Gladstone Anthony Payton is a Family Medicine in Mount Clemens, Michigan. Gladstone Anthony Payton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gladstone Anthony Payton is 1184617854. The last update date is 2010-06-28.

Gladstone Anthony Payton's current location address is 247 N Gratiot Ave, Mount Clemens, Michigan. You can contact this provider via phone number 5864688088 and fax number 5864688283. The mailing address for Gladstone Anthony Payton is 247 N Gratiot Ave, Mount Clemens, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Gladstone Anthony Payton
Address 247 N Gratiot Ave, Mount Clemens, Michigan
Phone Number 5864688088
Fax Number 5864688283
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1184617854
Provider Enumeration Date 2005-08-26
Last Updated Date 2010-06-28

Provider Mailing Address Detail

Address 247 N Gratiot Ave
City Mount Clemens
State Michigan (MI)
Post Code 480435746
Phone Number 5864688088
Fax Number 5864688283

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5101005762
Definition:
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1003624 MI --
855018335 MI BLUE SHIELD

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FAQs about Gladstone Anthony Payton

What is the unique identifier code issued to Gladstone Anthony Payton by the Centers for Medicare & Medicaid Services (CMS)?

The Gladstone Anthony Payton has been assigned the NPI (National Provider Identifier) 1184617854. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Gladstone Anthony Payton?

The Gladstone Anthony Payton is situated at 247 N Gratiot Ave, in the city of Mount Clemens, state of MI, with the zip code 480435746.

What is the Gladstone Anthony Payton's specialty and taxonomy code?

The Gladstone Anthony Payton's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184617854 to Gladstone Anthony Payton?

The Centers for Medicare & Medicaid Services originally issued the 1184617854 to Gladstone Anthony Payton on 2005-08-26.

When was the information related to Gladstone Anthony Payton most recently updated or refreshed?

The details pertaining to the Gladstone Anthony Payton, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-28.

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