Organization · NPI-2

Bloomfield Medical Center Plc

Clinic/Center · Farmington Hills, MI

NPI number1265523328

StatusActive

Last updated in NPPESFeb 25, 2020

Details

NPI: 1265523328
Entity type: Organization (NPI-2)
Legal business name: Bloomfield Medical Center Plc
Organization subpart: No
Enumeration date: Sep 27, 2006
Certification date: Feb 25, 2020
Last updated: Feb 25, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–

Practice location

23900 Orchard Lake Rd
Suite 150
Farmington Hills, MI 48336-2501

Phone 248-203-1282 · Fax 248-203-4148

Mailing address

Po Box 32588
Detroit, MI 48232-0588

Phone 248-203-1282 · Fax 248-203-4148

Authorized official

Rene Weeks
Billing/Credentialing Manager
2482031282

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