MEDICARE: DIAL A DOC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MR070661	MI

General Provider Information

NPI Number	:	1891726212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAL A DOC PC

Provider Business Mailing Address
First Line	:	PO BOX 510
Second Line	:
City	:	UNION LAKE
State	:	MI
Zip	:	48387-0510
Country	:	US
Telephone Number	:	248-599-9491
Fax Number	:	248-599-9492

Provider Business Practice Location Address
First Line	:	1396 SCOTT LAKE ROAD
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1578
Country	:	US
Telephone Number	:	248-599-9491
Fax Number	:	248-599-9492

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MICHELE R RITTER
Credential	:	MD
Telephone Number	:	248-932-2932

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	12/31/2009

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Directions to “DIAL A DOC PC ” Practice Location

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