Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEOPLES COMMUNITY MEDICAL CLINIC
Active
Organization
PEOPLES COMMUNITY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO J WILLIAM MD (PRESIDENT)
(248) 424-9460
Entity
Organization
Contact information
Practice address
4000 DAVISON AVENUE, DETROIT, MI 48238
(248) 424-9460
(248) 424-9464
Mailing address
4000 DAVISON AVENUE, DETROIT, MI 48238
(248) 424-9460
(248) 424-9464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301040568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073690103
COMMERICAL
MI
05
—
1073690103
—
MI
Enumeration date
05/03/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up