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Organization

ALASDAIR MCKENDRICK, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALASDAIR I.L. MCKENDRICK M.D. (PRESIDENT)
(248) 380-8005
Entity
Organization

Contact information

Practice address
22250 PROVIDENCE DR, SUITE 208, SOUTHFIELD, MI 48075-4825
(248) 557-8780
(248) 557-3242
Mailing address
22250 PROVIDENCE DR, SUITE 208, SOUTHFIELD, MI 48075-4825
(248) 557-8780
(248) 557-3242

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AM033769
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1011632001
WELLNESS PLAN
MI
01
101940
GREAT LAKES HEALTH
MI
01
102712
CARE CHOICES
MI
01
1360373
FIRST HEALTH
MI
01
21874
OMNICARE
MI
01
2806335721
BCBSM
MI
05
2836795-10
MI
01
4262359
AETNA
MI
01
791281006
RRMR
MI
01
9726331001
CIGNA
MI
01
C3934
MCARE
MI
Enumeration date
03/07/2007
Last updated
01/05/2010
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