institution
Southeastern Michigan Medical Consultants Pc
Addiction Medicine (Internal Medicine) Physician in Saint Clair Shores, Michigan
NPI 1942300884

Southeastern Michigan Medical Consultants Pc is an Addiction Medicine (Internal Medicine) Physician based in Saint Clair Shores, MI and is specialized in Addiction Medicine. Southeastern Michigan Medical Consultants Pc practices in Saint Clair Shores, MI. The NPI Number for Southeastern Michigan Medical Consultants Pc is 1942300884 and holds a License No. 4301044898 (Michigan).

The current practice location address for Southeastern Michigan Medical Consultants Pc is 21420 Harper Ave, Saint Clair Shores, MI and can be reached out via phone at 586-775-7400 and via fax at 586-775-0091.

Location: 21420 Harper Ave, Saint Clair Shores, MI, 48080-3607
institution
Provider Profile Details
NPI Number
1942300884
Provider Name
Southeastern Michigan Medical Consultants Pc
Credential
Provider Entity Type
Organization
Address
21420 Harper Ave, Saint Clair Shores, MI, 48080-3607
Phone Number
586-775-7400
Fax Number
586-775-0091
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4329604 01 MI AETNA
010E023690 01 MI BCBS
B47051 01 MI HAP
DE9629 01 MI RAILROAD MEDICARE GROUP
010E023690 01 MI BCN
1942300884 05 MI
institution
Provider Business Practice Location Address Details
Address
21420 Harper Ave
City
State
Zip
48080-3607
Phone Number
586-775-7400
Fax Number
586-775-0091
person
Provider Business Mailing Address Details
Address
21420 Harper Ave
City
State
Zip
48080-3607
Phone Number
586-775-7400
Fax Number
586-775-0091
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
4301044898 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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