Provider Type Icon

INTERNAL MEDICINE CLINIC PLLC NPI 1124011127


NPI Information

NPI: 1124011127
Provider Name: INTERNAL MEDICINE CLINIC PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 23D0381527

Address:
105 ARBOR LN
ALPENA, MI
ZIP 49707
Phone: (989) 356-3485
Get Directions

INTERNAL MEDICINE CLINIC PLLC is an endocrinology and diabetes and metabolism internal medicine in Alpena, MI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. INTERNAL MEDICINE CLINIC PLLC NPI is 1124011127. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 ARBOR LN
ALPENA, MI
ZIP 49707-301
Phone: (989) 356-3485
Fax: (989) 356-6396

The provider's authorized official is Kristen Metzke .
The authorized official title is Billing Manager and has the following contact phone number (989) 356-3485.

The CLIA number assigned to this NPI record is 23D0381527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 8/22/2020.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMC034224MICHIGANYes
2207R00000XInternal MedicineHS024997MICHIGANX
3207RP1001XInternal MedicinePulmonary DiseaseJM059074MICHIGANX

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.