Organization
CREEKSIDE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINA P SPYRIDAKIS DO (PRESIDENT/OWNER)
(586) 350-6073
Entity
Organization
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TWP, MI 48382-2201
(248) 937-3300
Mailing address
6035 ELDRIDGE DR, WATERFORD, MI 48327-2631
(586) 350-6073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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