Shelbydale Medical Clinic, P.C. in Shelby Twp - Family Medicine
Shelbydale Medical Clinic, P.C. - NPI 1629258488
Shelbydale Medical Clinic, P.C. is a Family Medicine in Shelby Twp, Michigan. Shelbydale Medical Clinic, P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shelbydale Medical Clinic, P.C. is 1629258488. The last update date is 2007-11-09.
Shelbydale Medical Clinic, P.C.'s current location address is 49221 Van Dyke Ave, Shelby Twp, Michigan. You can contact this provider via phone number 5862544860 and fax number 5862545844. The mailing address for Shelbydale Medical Clinic, P.C. is 49221 Van Dyke Ave, Shelby Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shelbydale Medical Clinic, P.C. |
|---|---|
| Address | 49221 Van Dyke Ave, Shelby Twp, Michigan |
| Phone Number | 5862544860 |
| Fax Number | 5862545844 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tom B Keith |
| Credentials | D.O. |
| Telephone Number | 5862544860 |
NPI Number Detail
| NPI Number | 1629258488 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 49221 Van Dyke Ave |
|---|---|
| City | Shelby Twp |
| State | Michigan (MI) |
| Post Code | 483171336 |
| Phone Number | 5862544860 |
| Fax Number | 5862545844 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | KT008999 |
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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 |
|---|---|---|---|
| 2646558 | MI | -- |
Post Comment/ Review Below
What is the Shelbydale Medical Clinic, P.C.'s 1629258488?
The Shelbydale Medical Clinic, P.C.'s NPI (National Provider Identifier) Number is 1629258488. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shelbydale Medical Clinic, P.C. is located?
The Shelbydale Medical Clinic, P.C. is situated at the following address: 49221 Van Dyke Ave, Shelby Twp, MI, 483171336.
What is the Shelbydale Medical Clinic, P.C.'s area of specialization and corresponding taxonomy classification?
The Shelbydale Medical Clinic, P.C.'s specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Shelbydale Medical Clinic, P.C. receive its 1629258488?
The Shelbydale Medical Clinic, P.C. was issued its 1629258488 on 2007-11-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Shelbydale Medical Clinic, P.C. most recently updated or refreshed?
The details pertaining to the Shelbydale Medical Clinic, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-09.
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