Organization
BI-COUNTY PHYSICIANS PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KIBBLE (DIRECTOR OF PHYSICIAN PRACTICE DEVE)
(586) 759-7300
Entity
Organization
Contact information
Practice address
13355 EAST 10 MILE ROAD, WARREN, MI 48089-2048
(586) 759-7300
Mailing address
PO BOX 673852, DETROIT, MI 48267-3852
(586) 412-4000
(586) 412-4102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
06/24/2008
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