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STONY CREEK INTERNAL MEDICINE PLC NPI 1093835647


NPI Information

NPI: 1093835647
Provider Name: STONY CREEK INTERNAL MEDICINE PLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D1017868

Address:
52915 MOUND ROAD
SHELBY TOWNSHIP, MI
ZIP 48316
Phone: (586) 992-2400
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STONY CREEK INTERNAL MEDICINE PLC is an internal medicine in Shelby Township, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. STONY CREEK INTERNAL MEDICINE PLC NPI is 1093835647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

52915 MOUND ROAD
SHELBY TOWNSHIP, MI
ZIP 48316-266
Phone: (586) 992-2400

The provider's authorized official is Lisa Hall .
The authorized official title is Owner and has the following contact phone number (586) 992-2400.

The CLIA number assigned to this NPI record is 23D1017868 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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