Organization
METRO MEDICAL PRACTICE PC
Active
Other names
Metro Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA RUTKOVSKY (OFFICE MENAGER)
(248) 524-9085
Entity
Organization
Contact information
Practice address
2891 E MAPLE RD, SUITE 102, TROY, MI 48083-6106
(248) 524-9085
(248) 524-9086
Mailing address
2891 E MAPLE RD, SUITE 102, TROY, MI 48083-6106
(248) 524-9085
(248) 524-9086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TU034870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F325720
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/04/2006
Last updated
02/29/2024
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