Organization
EDITH NEMETH, M.D. P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M NADAI (BILLING MANAGER)
(248) 547-3914
Entity
Organization
Contact information
Practice address
136 KISSANE AVE, SUITE C, BRIGHTON, MI 48116-2467
(810) 225-2331
Mailing address
7367 COGGERS MEADOW DR, BRIGHTON, MI 48116-8376
(734) 417-0936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0815043
BLUE CROSS OF MICHIGAN
MI
05
—
3310769
—
MI
01
—
4301061656
STATE LIC. NUMBER
MI
Enumeration date
12/16/2009
Last updated
12/16/2009
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