Organization
INTERNAL MEDICINE AND PEDIATRICS OF BLOOMFIELD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KALLABAT MD (PRESIDENT)
(248) 723-2400
Entity
Organization
Contact information
Practice address
1109 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48302-1964
(248) 723-2400
Mailing address
1109 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48302-1964
(248) 723-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
MI
Other
Enumeration date
03/27/2007
Last updated
11/16/2023
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