Organization · Type 2 NPI

South Macomb Internists, P.c.

Multi-Specialty Clinic/Center · Warren, MI

NPI number 1366436511 Active

Practice location

11900 E 12 Mile Rd, Suite 300
Warren, MI 48093-3400

Fax (586) 751-1302

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1366436511

South Macomb Internists, P.c.'s National Provider Identifier is 1366436511, issued on Sep 2, 2005. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Warren, MI. The record was last updated on Jul 14, 2007.