Pine Trees Medical Office PC

NPI #1487648374 in Jerome, Michigan

Provider Information

NPI Number: 1487648374
Entity Type: Organization
Organization Name: Pine Trees Medical Office PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 7, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 11610 WALDRON RD
City: Jerome
State: Michigan
ZIP Code: 49249-9637
Phone: (517) 688-4842

Authorized Official

Name: ROY W BOYER, MD
Title: PRESIDENT
Phone: (517) 688-4842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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