Perry Mlk Medical Center P.C. in Pontiac - General Practice
Perry Mlk Medical Center P.C. - NPI 1407942394
Perry Mlk Medical Center P.C. is a General Practice in Pontiac, Michigan. Perry Mlk Medical Center P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Perry Mlk Medical Center P.C. is 1407942394. The last update date is 2010-10-26.
Perry Mlk Medical Center P.C.'s current location address is 673 Martin Luther King Jr Blvd N, Pontiac, Michigan. You can contact this provider via phone number 2483382793. The mailing address for Perry Mlk Medical Center P.C. is 673 Martin Luther King Jr Blvd N, Pontiac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Perry Mlk Medical Center P.C. |
|---|---|
| Address | 673 Martin Luther King Jr Blvd N, Pontiac, Michigan |
| Phone Number | 2483382793 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Swilley K Bryan |
| Credentials | DO |
| Telephone Number | 2483382793 |
NPI Number Detail
| NPI Number | 1407942394 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2010-10-26 |
Provider Mailing Address Detail
| Address | 673 Martin Luther King Jr Blvd N |
|---|---|
| City | Pontiac |
| State | Michigan (MI) |
| Post Code | 483421627 |
| Phone Number | 2483382793 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | BS010362 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 856308604 | MI | BCBS OF MI | |
| 1401 | MI | CAPE HEALTH PLAN | |
| 114402195 | MI | -- | |
| 132616 | MI | CARE CHOICES |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Perry Mlk Medical Center P.C. by the Centers for Medicare & Medicaid Services?
The Perry Mlk Medical Center P.C. has been issued the NPI (National Provider Identifier) 1407942394 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Perry Mlk Medical Center P.C. is physically located?
The Perry Mlk Medical Center P.C. is physically situated at the following address: 673 Martin Luther King Jr Blvd N, Pontiac, MI, 483421627.
What is Perry Mlk Medical Center P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Perry Mlk Medical Center P.C.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
When was the Perry Mlk Medical Center P.C.'s 1407942394 issued?
The Perry Mlk Medical Center P.C.'s 1407942394 was issued on 2006-10-05.
As of what date were the details pertaining to Perry Mlk Medical Center P.C. last refreshed?
The information related to the Perry Mlk Medical Center P.C., including its address, specialty, and other relevant details, was last updated on 2010-10-26.
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