# IMID CONSULTANTS PC

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

## Provider details

- **NPI number:** 1194742940
- **Authorized official:** MISS BRENDA LEE LUTHER (SENIOR BILLER)
- **Authorized official phone:** (248) 229-6255

## Contact information

- **Practice address:** 2300 HAGGERTY, STE 1190, W BLOOMFIELD, MI 48322
- **Practice address phone:** (248) 229-6255
- **Practice address fax:** (248) 624-9825
- **Mailing address:** PO BOX 33321, DRAWER 110, DETROIT, MI 48232-5321
- **Mailing address phone:** (248) 229-6255
- **Mailing address fax:** (248) 624-9825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 4301054621 | MI | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020