Organization · Type 2 NPI

ST Claire Shores Medical PLLC

Medical Specialty Clinic/Center · St. Clair Shores, MI

NPI number 1316194640 Active

Practice location

30140 Harper Ave, Suite 300
St. Clair Shores, MI 48082-1610

Fax (586) 293-1869

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X4301088798 (MI)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

4 other providers at this address

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About NPI 1316194640

ST Claire Shores Medical PLLC's National Provider Identifier is 1316194640, issued on Aug 18, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in St. Clair Shores, MI. The record was last updated on Oct 8, 2014.