is a Family Medicine in Saint Clair Shores, Michigan. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1972760817. The last update date is .
's current location address is 24911 Little Mack Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867772050. The mailing address for is 24911 Little Mack Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 24911 Little Mack Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867772050 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972760817 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 24911 Little Mack Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480803200 |
| Phone Number | 5867772050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 125-053484 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H208910 | MI | BLUE CROSS GROUP |
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