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Organization
SHORES MEDICAL ASSOCIATES PLLC
Active
Organization
SHORES MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNOLD EDWIN KETELS (CFO)
(586) 774-8720
Entity
Organization
Contact information
Practice address
25200 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-2116
(586) 774-8720
(586) 774-7154
Mailing address
25200 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-2116
(586) 774-8720
(586) 774-7154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CK008071
MI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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