Organization
BAYSIDE FAMILY MEDICINE CHESTERFIELD PC
Active
Other names
Bayside Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN RHEAUME MD (PRESIDENT)
(586) 598-2900
Entity
Organization
Contact information
Practice address
31225 23 MILE RD, CHESTERFIELD, MI 48047-1848
(586) 598-2900
(586) 598-2905
Mailing address
31225 23 MILE RD, CHESTERFIELD, MI 48047-1848
(586) 598-2900
(586) 598-2905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301058573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4619550
—
MI
Enumeration date
09/14/2009
Last updated
09/14/2009
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