| Digestive Health Centers Of Michigan Pc | |
|
30795 23 Mile Rd Suite 206 Chesterfield MI 48047-5720 | |
| (586) 598-5731 | |
| (586) 948-1530 |
| Full Name | Digestive Health Centers Of Michigan Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 30795 23 Mile Rd, Chesterfield, Michigan |
| Authorized Official Name and Position | Ronald P Fogel (PHYSICAN/OWNER) |
| Authorized Official Contact | 5865985731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Centers Of Michigan Pc 30795 23 Mile Rd Suite 206 Chesterfield MI 48047-5720 Ph: (586) 598-5731 | Digestive Health Centers Of Michigan Pc 30795 23 Mile Rd Suite 206 Chesterfield MI 48047-5720 Ph: (586) 598-5731 |
| NPI Number | 1366639320 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366639320 | NPI | - | NPPES |
| 4630510 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301056430 (Michigan) | Primary |
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