| New Castle Haggerty Medical Partners Pa | |
|
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 | |
| (248) 662-0250 | |
| (248) 662-9845 |
| Full Name | New Castle Haggerty Medical Partners Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 21333 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Thomas M Prose (PRESIDENT) |
| Authorized Official Contact | 2486620250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Castle Haggerty Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 | New Castle Haggerty Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 |
| NPI Number | 1154782183 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154782183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | (Michigan) | Secondary |
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