# GENERAL MEDICINE OF KANSAS CITY, P.C.

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

## Provider details

- **NPI number:** 1922274406
- **Authorized official:** THOMAS PROSE M.D. (PRESIDENT)
- **Authorized official phone:** (248) 662-0250

## Contact information

- **Practice address:** 21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
- **Practice address phone:** (248) 662-0250
- **Practice address fax:** (248) 662-9844
- **Mailing address:** 21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
- **Mailing address phone:** (248) 662-0250
- **Mailing address fax:** (248) 662-9844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | KS | — |
| 207R00000X | Internal Medicine Physician | — | MO | Yes |
| 363L00000X | Nurse Practitioner | — | KS | — |
| 363L00000X | Nurse Practitioner | — | MO | — |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008