Dearborn Allergy & Asthma Clinic Pc in Dearborn - Clinical & Laboratory Immunology
Dearborn Allergy & Asthma Clinic Pc - NPI 1477545200
Dearborn Allergy & Asthma Clinic Pc is a Clinical & Laboratory Immunology in Dearborn, Michigan. Dearborn Allergy & Asthma Clinic Pc practices all healthcare services and medical treatments related to Clinical & Laboratory Immunology. The NPI Number for Dearborn Allergy & Asthma Clinic Pc is 1477545200. The last update date is 2012-04-24.
Dearborn Allergy & Asthma Clinic Pc's current location address is 20200 Outer Dr, Dearborn, Michigan. You can contact this provider via phone number 3135653565 and fax number 3135657723. The mailing address for Dearborn Allergy & Asthma Clinic Pc is 20200 Outer Dr, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dearborn Allergy & Asthma Clinic Pc |
|---|---|
| Address | 20200 Outer Dr, Dearborn, Michigan |
| Phone Number | 3135653565 |
| Fax Number | 3135657723 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Short Kathy |
| Telephone Number | 3135653565 |
NPI Number Detail
| NPI Number | 1477545200 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
| Address | 20200 Outer Dr |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481242634 |
| Phone Number | 3135653565 |
| Fax Number | 3135657723 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical & Laboratory Immunology |
|---|---|
| Taxonomy | 207Ki0005X |
|
Definition: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083483 | MI | -- | |
| 2838806 | MI | -- | |
| 0H26340 | MI | BLUE CROSS | |
| 1290003 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dearborn Allergy & Asthma Clinic Pc by the Centers for Medicare & Medicaid Services?
The Dearborn Allergy & Asthma Clinic Pc has been issued the NPI (National Provider Identifier) 1477545200 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dearborn Allergy & Asthma Clinic Pc's facilities are geographically located?
The facilities of Dearborn Allergy & Asthma Clinic Pc are physically situated at the following location: 20200 Outer Dr, Dearborn, MI, 481242634.
What is the Dearborn Allergy & Asthma Clinic Pc's specialty and taxonomy code?
The Dearborn Allergy & Asthma Clinic Pc's specialty is Clinical & Laboratory Immunology, and the corresponding taxonomy code is 207Ki0005X.
On what date did the Dearborn Allergy & Asthma Clinic Pc receive its 1477545200 assignment from the Centers for Medicare & Medicaid Services?
The Dearborn Allergy & Asthma Clinic Pc was assigned its 1477545200 by the Centers for Medicare & Medicaid Services on 2005-08-18.
As of what date were the details related to Dearborn Allergy & Asthma Clinic Pc most recently updated or revised?
The information pertaining to Dearborn Allergy & Asthma Clinic Pc, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-24.