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St Claire Shores Medical Pllc
Medical Specialty Clinic/Center in Saint Clair Shores, Michigan
NPI 1316194640

St Claire Shores Medical Pllc is a Medical Specialty Clinic/Center based in Saint Clair Shores, MI and is specialized in Medical Specialty. St Claire Shores Medical Pllc practices in Saint Clair Shores, MI. The NPI Number for St Claire Shores Medical Pllc is 1316194640 and holds a License No. 4301088798 (Michigan).

The current practice location address for St Claire Shores Medical Pllc is 30140 Harper Ave, Saint Clair Shores, MI and can be reached out via phone at 586-293-1848 and via fax at 586-293-1869.

Location: 30140 Harper Ave, Saint Clair Shores, MI, 48082-1610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316194640
Provider Name
St Claire Shores Medical Pllc
Credential
Provider Entity Type
Organization
Address
30140 Harper Ave, Saint Clair Shores, MI, 48082-1610
Phone Number
586-293-1848
Fax Number
586-293-1869
Provider Enumeration Date
08/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0502329 01 MI BCBS
1417032491 01 MI NPI
70-0-F32947-0 01 MI BCBS CPIN#
4945780-10 05 MI
institution
Provider Business Practice Location Address Details
Address
30140 Harper Ave
City
Saint Clair Shores
State
Michigan
Zip
48082-1610
Phone Number
586-293-1848
Fax Number
586-293-1869
person
Provider Business Mailing Address Details
Address
30140 Harper Ave
City
Saint Clair Shores
State
Michigan
Zip
48082-1610
Phone Number
586-293-1848
Fax Number
586-293-1869
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
4301088798 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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