Twin Lakes Medical Associates, P.c.

NPI 1053338038 - Internal Medicine - 207R00000X

NPI Details
NPI 1053338038
Enumeration Date 07/16/2006
Last Updated 11/21/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TED TED
Position PHYSICIAN
Phone (248) 451-0668
Fax (248) 451-0672
Practice Location
43700 WOODWARD AVENUE
SUITE 206
BLOOMFIELD HILLS MI, 48302, US
Phone (248) 451-0668
Fax (248) 451-0672
Business Location
43700 WOODWARD AVENUE
SUITE 206
BLOOMFIELD HILLS MI, 48302, US
Phone (248) 451-0668
Fax (248) 451-0672
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301405466
Remove 1053338038 NPI Number
 

According to our database, Twin Lakes Medical Associates, P.c. NPI is 1053338038, taxonomy code is 207R00000X and license number is 4301405466, license state is located at Michigan. Twin Lakes Medical Associates, P.c. physically located at 43700 Woodward Avenue, Bloomfield Hills MI, 48302. NPI Number 1033115704 has the healthcare provider type.

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1053338038 NPI number is provided on an as is basis without warranty of any kind. 1053338038 is maintained by the National Plan & Provider Enumeration System. The contents of Twin Lakes Medical Associates, P.c. are for informational purposes only.