| Kelly M Hefferon Do Pc | |
|
5114 Shenandoah Ct W Bloomfield MI 48323-2343 | |
| (248) 230-1780 | |
| Not Available |
| Full Name | Kelly M Hefferon Do Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5114 Shenandoah Ct, W Bloomfield, Michigan |
| Authorized Official Name and Position | Kelly M Hefferon (DIRECTOR) |
| Authorized Official Contact | 2482301780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Hefferon Do Pc 5114 Shenandoah Ct W Bloomfield MI 48323-2343 Ph: (248) 230-1780 | Kelly M Hefferon Do Pc 5114 Shenandoah Ct W Bloomfield MI 48323-2343 Ph: (248) 230-1780 |
| NPI Number | 1518354745 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518354745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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