| South Macomb Internists, P.C. | |
|
11900 E 12 Mile Rd Suite 300 Warren MI 48093-3400 | |
| (586) 761-2072 | |
| (586) 751-1302 |
| Full Name | South Macomb Internists, P.C. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11900 E 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Anthony Baron (OFFICER) |
| Authorized Official Contact | 5867512072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Macomb Internists, P.C. 11900 E 12 Mile Rd Suite 300 Warren MI 48093-3400 Ph: (586) 761-2072 | South Macomb Internists, P.C. 11900 E 12 Mile Rd Suite 300 Warren MI 48093-3400 Ph: (586) 761-2072 |
| NPI Number | 1366436511 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 07/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366436511 | NPI | - | NPPES |
| 700E06357 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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