Southfield Gastroenterology Associates Pc

NPI 1184696494 - Internal Medicine - 207RG0100X

NPI Details
NPI 1184696494
Enumeration Date 02/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADFORD BRADFORD
Position PRESIDENT
Phone (248) 559-6370
Fax (248) 559-5338
Practice Location
22250 PROVIDENCE DR
SUITE 406
SOUTHFIELD MI, 48075-4825, US
Phone (248) 559-6370
Fax (248) 559-5338
Business Location
28801 PLYMOUTH RD
LIVONIA MI, 48150-2385, US
Phone (734) 266-2780
Fax (734) 466-9615
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
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According to our database, Southfield Gastroenterology Associates Pc NPI is 1184696494, taxonomy code is 207RG0100X Southfield Gastroenterology Associates Pc physically located at 22250 Providence Dr, Southfield MI, 48075-4825. NPI Number 1033115704 has the healthcare provider type.

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1184696494 NPI number is provided on an as is basis without warranty of any kind. 1184696494 is maintained by the National Plan & Provider Enumeration System. The contents of Southfield Gastroenterology Associates Pc are for informational purposes only.