Organization
HESTER S PERNELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESTER SUSIE PERNELL MD (INTERNIST)
(248) 557-1753
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR, 312, SOUTHFIELD, MI 48075-5205
(248) 557-1753
(248) 557-6404
Mailing address
111 PONDS VIEW DR, ANN ARBOR, MI 48103-6606
(248) 557-1753
(248) 557-6404
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301041286
MI
Other
Enumeration date
06/15/2010
Last updated
06/16/2010
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