Organization · Type 2 NPI

East Side Medical Services P C

Specialist · St. Clair Shores, MI

NPI number 1629384144 Active

Practice location

22790 Harper Ave, Suite A
St. Clair Shores, MI 48080-1831

Call (586) 445-3070 Map

Fax (586) 445-3072

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301031532 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 other providers at this address

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About NPI 1629384144

East Side Medical Services P C's National Provider Identifier is 1629384144, issued on Aug 21, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jan 5, 2011.