Healthcare Provider Details

I. General information

NPI: 1447583398
Provider Name (Legal Business Name): DIAL A DOC PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 N SAGINAW CHASE BUILDING
PONTIAC MI
48340
US

IV. Provider business mailing address

PO BOX 510
UNION LAKE MI
48387-0510
US

V. Phone/Fax

Practice location:
  • Phone: 248-932-2932
  • Fax:
Mailing address:
  • Phone: 248-932-2932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMR070661
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMR070661
License Number StateMI

VIII. Authorized Official

Name: DR. MICHELE RITTER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 248-932-2932