# MICHIGAN INTERNAL MEDICINE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871777672
- **Authorized official:** KATHLEEN M NADAI (BILLING AGENT)
- **Authorized official phone:** (248) 547-3914

## Contact information

- **Practice address:** 928 BLOOMFIELD KNOLL DR, BLOOMFIELD HILLS, MI 48304-2015
- **Practice address phone:** (248) 761-5185
- **Mailing address:** 928 BLOOMFIELD KNOLL DR, BLOOMFIELD HILLS, MI 48304-2015
- **Mailing address phone:** (248) 761-5185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301075318 | MI | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 01/24/2018
