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Organization
BI COUNTY MEDICAL PRACTICES
Active
Organization
BI COUNTY MEDICAL PRACTICES
Active
Other names
Henry Ford Macomb Hospital Warren
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY GOODBALIAN (CFO)
(586) 263-2705
Entity
Organization
Contact information
Practice address
25531 SCHOENHERR RD, WARREN, MI 48089-1413
(586) 757-9707
(586) 757-9808
Mailing address
PO BOX 673195, DETROIT, MI 48267-3195
(810) 720-5715
(810) 732-0891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Enumeration date
03/24/2010
Last updated
06/17/2010
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