Lakeshore Ear Nose And Throat Center Pc in Saint Clair Shores - Internal Medicine

Lakeshore Ear Nose And Throat Center Pc - NPI 1194921692

Lakeshore Ear Nose And Throat Center Pc is a Internal Medicine in Saint Clair Shores, Michigan. Lakeshore Ear Nose And Throat Center Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lakeshore Ear Nose And Throat Center Pc is 1194921692. The last update date is 2007-10-12.

Lakeshore Ear Nose And Throat Center Pc's current location address is 21000 E 12 Mile Rd, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867797610. The mailing address for Lakeshore Ear Nose And Throat Center Pc is 21000 E 12 Mile Rd, Saint Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeshore Ear Nose And Throat Center Pc
Address 21000 E 12 Mile Rd, Saint Clair Shores, Michigan
Phone Number 5867797610
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Megler Dj Daniel
Credentials MD
Telephone Number 5867797610

NPI Number Detail

NPI Number 1194921692
Provider Enumeration Date 2007-06-22
Last Updated Date 2007-10-12

Provider Mailing Address Detail

Address 21000 E 12 Mile Rd
City Saint Clair Shores
State Michigan (MI)
Post Code 480811116
Phone Number 5867797610
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1108206701 BLUE SHIELD

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FAQs about Lakeshore Ear Nose And Throat Center Pc

What is the Lakeshore Ear Nose And Throat Center Pc's 1194921692?

The Lakeshore Ear Nose And Throat Center Pc's NPI (National Provider Identifier) Number is 1194921692. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lakeshore Ear Nose And Throat Center Pc located?

The Lakeshore Ear Nose And Throat Center Pc is located at 21000 E 12 Mile Rd, Saint Clair Shores, MI 480811116.

What is Lakeshore Ear Nose And Throat Center Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lakeshore Ear Nose And Throat Center Pc's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Lakeshore Ear Nose And Throat Center Pc receive the assignment of its 1194921692 from the Centers for Medicare & Medicaid Services?

The Lakeshore Ear Nose And Throat Center Pc was issued its 1194921692 by the Centers for Medicare & Medicaid Services on 2007-06-22.

When was the information regarding Lakeshore Ear Nose And Throat Center Pc most recently updated?

The details pertaining to the Lakeshore Ear Nose And Throat Center Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-10-12.

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