# HESTER S PERNELL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184085516
- **Authorized official:** DR. HESTER S PERNELL MD (PHYSICIAN)
- **Authorized official phone:** (248) 281-3422

## Contact information

- **Practice address:** 24628 RIDGEVIEW DR, FARMINGTON HILLS, MI 48336-1905
- **Practice address phone:** (313) 929-7379
- **Mailing address:** 23077 GREENFIELD RD, SOUTHFIELD, MI 48075-3709
- **Mailing address phone:** (248) 281-3422
- **Mailing address fax:** (248) 281-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MI14798 | MI | Yes |

## Other

- **Enumeration date:** 03/12/2016
- **Last updated:** 03/12/2016