Organization · Type 2 NPI

Hester S Pernell MD PC

Primary Care Clinic/Center · Southfield, MI

NPI number 1366763161 Active

Practice location

16250 Northland Dr, 312
Southfield, MI 48075-5205

Fax (248) 557-6404

Mailing address

111 Ponds View Dr
Ann Arbor, MI 48103-6606

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X4301041286 (MI)

Primary Care Clinic/Center: Definition to come...

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About NPI 1366763161

Hester S Pernell MD PC's National Provider Identifier is 1366763161, issued on Jun 15, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Southfield, MI. The record was last updated on Jun 16, 2010.