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Organization
SOUTHEAST INTERNAL MEDICINE PLLC
Active
Organization
SOUTHEAST INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET MCQUISTON DO (OWNER PHYSICIAN)
(734) 671-5100
Entity
Organization
Contact information
Practice address
29159 HELMAN BLVD, BROWNSTOWN, MI 48183
(734) 671-5100
(734) 671-7664
Mailing address
29159 HELMAN, BROWNSTOWN, MI 48183-0172
(734) 671-5100
(734) 671-7664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4323064
—
MI
05
—
4439990
—
MI
Enumeration date
07/12/2005
Last updated
10/16/2007
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