Group Medical Clinic Pllc in Southfield - Adolescent Medicine
Group Medical Clinic Pllc - NPI 1548347206
Group Medical Clinic Pllc is a Adolescent Medicine in Southfield, Michigan. Group Medical Clinic Pllc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Group Medical Clinic Pllc is 1548347206. The last update date is 2008-09-26.
Group Medical Clinic Pllc's current location address is 27900 Berkshire Dr, Southfield, Michigan. You can contact this provider via phone number 3138938314 and fax number 3138937532. The mailing address for Group Medical Clinic Pllc is 27900 Berkshire Dr, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Group Medical Clinic Pllc |
|---|---|
| Address | 27900 Berkshire Dr, Southfield, Michigan |
| Phone Number | 3138938314 |
| Fax Number | 3138937532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Agomuoh S Obioma |
| Credentials | M.D. |
| Telephone Number | 3138938314 |
NPI Number Detail
| NPI Number | 1548347206 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 27900 Berkshire Dr |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480764957 |
| Phone Number | 3138938314 |
| Fax Number | 3138937532 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 4301063912 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301063912 | MI | MICHIGAN LIC | |
| 4149140 10 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Group Medical Clinic Pllc by the Centers for Medicare & Medicaid Services?
The Group Medical Clinic Pllc has been assigned the NPI (National Provider Identifier) 1548347206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Group Medical Clinic Pllc's facilities are geographically located?
The facilities of Group Medical Clinic Pllc are physically situated at the following location: 27900 Berkshire Dr, Southfield, MI, 480764957.
What is the Group Medical Clinic Pllc's area of specialization and corresponding taxonomy classification?
The Group Medical Clinic Pllc's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Qa0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1548347206 to Group Medical Clinic Pllc?
The Centers for Medicare & Medicaid Services assigned the 1548347206 to Group Medical Clinic Pllc on 2006-11-01.
As of what date were the Group Medical Clinic Pllc's details last updated?
The information pertaining to the Group Medical Clinic Pllc, including its address, specialty, and other details, was most recently updated on 2008-09-26.
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