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Contact Information

IMID CONSULTANTS PC
2300 HAGGERTY
STE 1190
WEST BLOOMFIELD, MI48322
 Phone: 248-229-6255
 Fax: 248-624-9825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IMID CONSULTANTS PC · (Female)

NPI Number 1194742940
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301054621
  • MI Medicaid 4474944
  • Other 1106320881 BC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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