Organization · Type 2 NPI
General and Internal Medicine
Clinic/Center · Prudenville, MI
NPI number
1376700294
Active
Practice location
1064 W West Branch Rd
Prudenville, MI 48651-9468
Mailing address
PO Box 268
Prudenville, MI 48651-0268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 4301403219 (MI) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Prudenville
About NPI 1376700294
General and Internal Medicine's National Provider Identifier is 1376700294, issued on May 19, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Prudenville, MI. The record was last updated on May 19, 2008.