Shores Medical Associates Pllc in Saint Clair Shores - Internal Medicine

Shores Medical Associates Pllc - NPI 1316104094

Shores Medical Associates Pllc is a Internal Medicine in Saint Clair Shores, Michigan. Shores Medical Associates Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shores Medical Associates Pllc is 1316104094. The last update date is 2008-05-20.

Shores Medical Associates Pllc's current location address is 25200 Little Mack Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867748720 and fax number 5867747154. The mailing address for Shores Medical Associates Pllc is 25200 Little Mack Ave, Saint Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shores Medical Associates Pllc
Address 25200 Little Mack Ave, Saint Clair Shores, Michigan
Phone Number 5867748720
Fax Number 5867747154
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Ketels Edwin Arnold
Telephone Number 5867748720

NPI Number Detail

NPI Number 1316104094
Provider Enumeration Date 2008-05-20
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 25200 Little Mack Ave
City Saint Clair Shores
State Michigan (MI)
Post Code 480812116
Phone Number 5867748720
Fax Number 5867747154

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No CK008071
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

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FAQs about Shores Medical Associates Pllc

What is the Shores Medical Associates Pllc's 1316104094?

The Shores Medical Associates Pllc's NPI (National Provider Identifier) Number is 1316104094. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Shores Medical Associates Pllc is geographically located?

The Shores Medical Associates Pllc is physically situated at the following location: 25200 Little Mack Ave, Saint Clair Shores, MI, 480812116.

What is the area of specialization for Shores Medical Associates Pllc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shores Medical Associates Pllc is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316104094 to Shores Medical Associates Pllc?

The Shores Medical Associates Pllc received its 1316104094 assignment from the Centers for Medicare & Medicaid Services on 2008-05-20.

When was the information regarding Shores Medical Associates Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shores Medical Associates Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-20.

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