Organization
MACOMB INTERMEDIATE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS KOEPKE (DIRECTOR OF SPECIAL EDUCATION)
(586) 228-3454
Entity
Organization
Contact information
Practice address
44001 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1100
(586) 228-3300
(586) 263-6240
Mailing address
44001 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1100
(586) 228-3300
(586) 263-6240
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933912
—
MI
Enumeration date
06/05/2006
Last updated
08/22/2020
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