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Organization
WAYPOINTE INTERNAL MEDICINE, P.C.
Active
Organization
WAYPOINTE INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ALAN GILL M.D. (PRESIDENT OF CORPORATION)
(586) 778-1881
Entity
Organization
Contact information
Practice address
24400 GREATER MACK AVE, ST CLAIR SHORES, MI 48080-1340
(586) 778-1881
(586) 778-0667
Mailing address
24400 GREATER MACK AVE, ST CLAIR SHORES, MI 48080-1340
(586) 778-1881
(586) 778-0667
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB9559
RAILROAD MEDICARE NUMBER
MI
Enumeration date
01/24/2006
Last updated
01/29/2021
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