Organization
INTERNAL MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINA HERRERO M.D. (OWNER)
(734) 340-9204
Entity
Organization
Contact information
Practice address
1159 E MICHIGAN AVE, SUITE A, YPSILANTI, MI 48198-5807
(734) 340-9204
Mailing address
1159 E MICHIGAN AVE, SUITE A, YPSILANTI, MI 48198-5807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301032776
MI
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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