Organization
SHORES RHEUMATOLOGY PC
Active
Organization
SHORES RHEUMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SULICH MD (PRESIDENT)
(586) 777-7577
Entity
Organization
Contact information
Practice address
29200 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1274
(586) 777-7577
(586) 777-6841
Mailing address
29200 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1274
(586) 362-2429
(586) 777-6841
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
AS048976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594326
—
MI
Enumeration date
04/30/2007
Last updated
12/01/2023
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