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Organization
INTERNAL MEDICINE AND PEDIATRICS OF BLOOMFIELD PC
Active
Organization
INTERNAL MEDICINE AND PEDIATRICS OF BLOOMFIELD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KALLABAT MD (PRESIDENT)
(248) 723-2400
Entity
Organization
Contact information
Practice address
1109 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48302-1964
(248) 723-2400
Mailing address
1109 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48302-1964
(248) 723-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
MI
Other
Enumeration date
03/27/2007
Last updated
11/16/2023
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