Macomb Internal Medicine Pc in Clinton Twp - Nephrology

Macomb Internal Medicine Pc - NPI 1639266885

Macomb Internal Medicine Pc is a Nephrology in Clinton Twp, Michigan. Macomb Internal Medicine Pc practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Macomb Internal Medicine Pc is 1639266885. The last update date is 2022-04-18.

Macomb Internal Medicine Pc's current location address is 15520 19 Mile Rd, Clinton Twp, Michigan. You can contact this provider via phone number 5862281010 and fax number 5862288570. The mailing address for Macomb Internal Medicine Pc is 15520 19 Mile Rd, Clinton Twp, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Macomb Internal Medicine Pc
Address 15520 19 Mile Rd, Clinton Twp, Michigan
Phone Number 5862281010
Fax Number 5862288570
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Gunst Mary
Telephone Number 5862281010

NPI Number Detail

NPI Number 1639266885
Provider Enumeration Date 2006-10-09
Last Updated Date 2022-04-18

Provider Mailing Address Detail

Address 15520 19 Mile Rd
City Clinton Twp
State Michigan (MI)
Post Code 480386333
Phone Number 5862281010
Fax Number 5862288570

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1639266885 MI --
110E07884 MI BLUE CROSS BLUE SHIELD MI

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FAQs about Macomb Internal Medicine Pc

What is the unique 10-digit identifier code assigned to Macomb Internal Medicine Pc by the Centers for Medicare & Medicaid Services?

The Macomb Internal Medicine Pc has been issued the NPI (National Provider Identifier) 1639266885 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Macomb Internal Medicine Pc?

The Macomb Internal Medicine Pc is situated at 15520 19 Mile Rd, in the city of Clinton Twp, state of MI, with the zip code 480386333.

What is the Macomb Internal Medicine Pc's specialty and taxonomy code?

The Macomb Internal Medicine Pc's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639266885 to Macomb Internal Medicine Pc?

The Centers for Medicare & Medicaid Services originally issued the 1639266885 to Macomb Internal Medicine Pc on 2006-10-09.

As of what date were the details pertaining to Macomb Internal Medicine Pc last refreshed?

The information related to the Macomb Internal Medicine Pc, including its address, specialty, and other relevant details, was last updated on 2022-04-18.

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