Internal Medicine Clinic Pllc
Legal Business Name
Internal Medicine Clinic Pllc
NPI Number
1124011127
NPI Type
Organization
Enumeration Date
08/24/2005
Specialties
(Taxonomies)Name
Code
207RE0101X
207R00000X
207RP1001X
Primary Taxonomy
No
No
No
Licenses
State
Michigan
Michigan
Michigan
License Number
MC034224
HS024997
JM059074
Contact
Information
Purpose
Mailing
Location
Address
105 ARBOR LN
105 ARBOR LN
City
Alpena
Alpena
State
MI
MI
Postal Code
49707-1301
49707-1301
Country
US
US
Telephone Number
(989) 356-3485
(989) 356-3485
Authorized Official
Name
Kristen Metzke
Title or Position
BILLING MANAGER
Telephone Number
(989) 356-3485
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020