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METRO MEDICAL PRACTICE PC NPI 1427096064


NPI Information

NPI: 1427096064
Provider Name: METRO MEDICAL PRACTICE PC

Other Name: METRO MEDICAL PRACTICE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D1079099

Address:
2891 E MAPLE RD
SUITE 102
TROY, MI
ZIP 48083
Phone: (248) 524-9085
Get Directions

METRO MEDICAL PRACTICE PC is an internal medicine in Troy, 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. METRO MEDICAL PRACTICE PC NPI is 1427096064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Metro Medical Practice.

The provider's business location address is:

2891 E MAPLE RD
SUITE 102
TROY, MI
ZIP 48083-106
Phone: (248) 524-9085
Fax: (248) 524-9086

The provider's authorized official is Natalia Rutkovsky .
The authorized official title is Office Menager and has the following contact phone number (248) 524-9085.

The CLIA number assigned to this NPI record is 23D1079099 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 2/29/2024.


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
1207R00000XInternal MedicineTU034870MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1700F325720OTHERMICHIGANBLUE CROSS BLUE SHIELD

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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