| Lakeshore Gastro Entrology | |
|
28300 Harper Ave. St. Clair Shores MI 48081 | |
| (586) 778-6090 | |
| (586) 778-1943 |
| Full Name | Lakeshore Gastro Entrology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 28300 Harper Ave., St. Clair Shores, Michigan |
| Authorized Official Name and Position | Mradula H Pandya (OFFICE MANAGER) |
| Authorized Official Contact | 5867786090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Gastro Entrology 28300 Harper Ave. St. Clair Shores MI 48081 Ph: (586) 778-6090 | Lakeshore Gastro Entrology 28300 Harper Ave. St. Clair Shores MI 48081 Ph: (586) 778-6090 |
| NPI Number | 1760507081 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760507081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | HP047131 (Michigan) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Doctors Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21611 East Eleven Mile Road, St. Clair Shores, MI 48081 Phone: 586-771-7200 | |
Metro Hyperbaric And Wound Healing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23003 Greater Mack Ave, Ste. A, St. Clair Shores, MI 48080 Phone: 586-779-6830 |