Individual
DR. IRENE C METRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
851 S MAIN ST, SUITE 1, PLYMOUTH, MI 48170-2086
(734) 451-2272
(734) 451-2554
Mailing address
851 S MAIN ST, SUITE 1, PLYMOUTH, MI 48170-2086
(734) 451-2272
(734) 451-2554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108242371
BLUE CROSS MI
MI
Enumeration date
09/22/2006
Last updated
07/08/2007
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