Pai Participant 18 PC
NPI #1750988226 in Beverly Hills, Michigan
Provider Information
- NPI Number
- 1750988226
- Entity Type
- Organization
- Organization Name
- Pai Participant 18 PC
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Oct 7, 2020
- Last Updated
- Oct 7, 2020
Practice Location
- Address
- 18200 W 13 MILE RD
- City
- Beverly Hills
- State
- Michigan
- ZIP Code
- 48025-5446
- Phone
- (314) 761-5764
Authorized Official
- Name
- ERIN LAIRD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (410) 458-8713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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