institution
Perry Mlk Medical Center P.c.
General Practice Physician in Pontiac, Michigan
NPI 1407942394

Perry Mlk Medical Center P.c. is a General Practice Physician based in Pontiac, MI. Perry Mlk Medical Center P.c. practices in Pontiac, MI. The NPI Number for Perry Mlk Medical Center P.c. is 1407942394 and holds a License No. BS010362 (Michigan).

The current practice location address for Perry Mlk Medical Center P.c. is 673 Martin Luther King Jr Blvd N, Pontiac, MI and can be reached out via phone at 248-338-2793.

Location: 673 Martin Luther King Jr Blvd N, Pontiac, MI, 48342-1627
institution
Provider Profile Details
NPI Number
1407942394
Provider Name
Perry Mlk Medical Center P.c.
Credential
Provider Entity Type
Organization
Address
673 Martin Luther King Jr Blvd N, Pontiac, MI, 48342-1627
Phone Number
248-338-2793
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0856308604 01 MI BCBS OF MI
000000001401 01 MI CAPE HEALTH PLAN
114402195 05 MI
132616 01 MI CARE CHOICES
institution
Provider Business Practice Location Address Details
Address
673 Martin Luther King Jr Blvd N
City
State
Zip
48342-1627
Phone Number
248-338-2793
Fax Number
person
Provider Business Mailing Address Details
Address
673 Martin Luther King Jr Blvd N
City
State
Zip
48342-1627
Phone Number
248-338-2793
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
BS010362 (Michigan)
Definition
Definition to come...
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