Organization
JOHN S DEMARE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J KENNY (OFFICE MANAGER)
(586) 247-6020
Entity
Organization
Contact information
Practice address
13700 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-6020
(586) 247-7048
Mailing address
13700 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-6020
(586) 247-7048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01378
BX
—
Enumeration date
08/20/2006
Last updated
08/16/2023
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