A.w.c. Fairclough MD PC

NPI #1104144526 in Pontiac, Michigan

Provider Information

NPI Number: 1104144526
Entity Type: Organization
Organization Name: A.w.c. Fairclough MD PC
Primary Specialty: Internal Medicine
Enumeration Date: May 10, 2010
Last Updated: Jul 27, 2010

Practice Location

Address: 989 UNIVERSITY DR
Address 2: SUITE 107
City: Pontiac
State: Michigan
ZIP Code: 48342-1885
Phone: (248) 334-4773

Authorized Official

Name: DR. ANTHONY FARICLOUGH, MD
Title: PRESIDENT
Phone: (248) 334-4773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine	207R00000X	Primary

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