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Organization

EXTENDED CARE MEDICAL ASSOC. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR HAROLD DO (OWNER/PHYSICIAN)
(248) 681-1963
Entity
Organization

Contact information

Practice address
4748 S KNOLL CT, W BLOOMFIELD, MI 48323-2520
(248) 681-1963
(248) 681-3524
Mailing address
PO BOX 251642, W BLOOMFIELD, MI 48325-1642
(248) 681-1963
(248) 681-3524

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AH005640
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1704147
MI
Enumeration date
06/09/2006
Last updated
08/22/2020
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