Marybeth Hardwicke MD

NPI 1144228586 - Internal Medicine - 207R00000X

NPI Details
NPI 1144228586
Gender Male
Enumeration Date 07/11/2005
Last Updated 04/29/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
23411 JEFFERSON AVE
SUITE 100
SAINT CLAIR SHORES MI, 48080-1949, US
Phone (586) 778-4080
Fax (586) 778-6055
Business Location
PO BOX 673215
DETROIT MI, 48267-3215, US
Phone (586) 778-4080
Fax (586) 778-6055
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number MH404922
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According to our database, Dr. Marybeth Hardwicke MD NPI is 1144228586, taxonomy code is 207R00000X and license number is MH404922, license state is located at Michigan. Marybeth Hardwicke MD physically located at 23411 Jefferson Ave, Saint Clair Shores MI, 48080-1949. NPI Number Marybeth Hardwicke MD has the Individual type.

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1144228586 NPI number is provided on an as is basis without warranty of any kind. 1144228586 is maintained by the National Plan & Provider Enumeration System. The contents of Marybeth Hardwicke MD are for informational purposes only.