John R Medical Clinic, PC

NPI #1225108343 in Madison Heights, Michigan

Provider Information

NPI Number
1225108343
Entity Type
Organization
Organization Name
John R Medical Clinic, PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 8, 2006
Last Updated
Jan 14, 2010

Practice Location

Address
26505 JOHN R RD
ZIP Code
48071-3611
Phone
(248) 547-3100

Authorized Official

Name
JAMES M KOHLENBERG, M.D.
Title
OWNER
Phone
(248) 547-3100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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