Organization
BLOOMFIELD MEDICAL CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE WEEKS (BILLING/CREDENTIALING MANAGER)
(248) 203-1282
Entity
Organization
Contact information
Practice address
23900 ORCHARD LAKE RD, SUITE 150, FARMINGTON HILLS, MI 48336-2501
(248) 203-1282
(248) 203-4148
Mailing address
PO BOX 32588, DETROIT, MI 48232-0588
(248) 203-1282
(248) 203-4148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104426188
—
MI
05
—
104796788
—
MI
Enumeration date
09/27/2006
Last updated
02/25/2020
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