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Organization
ST CLAIR ADULT MEDICINE PC
Active
Organization
ST CLAIR ADULT MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH HARDWICKE MD (PRESIDENT)
(586) 778-4080
Entity
Organization
Contact information
Practice address
22201 MOROSS RD STE 150, DETROIT, MI 48236-2152
(313) 886-8787
(313) 886-4106
Mailing address
23411 JEFFERSON AVE STE 101, SAINT CLAIR SHORES, MI 48080-1949
(586) 778-4080
(586) 778-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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