Healthcare Provider Details

I. General information

NPI: 1316049794
Provider Name (Legal Business Name): BI-COUNTY INTERNISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13355 E TEN MILE ROAD SUITE 229
WARREN MI
48089
US

IV. Provider business mailing address

13355 E TEN MILE ROAD SUITE 229
WARREN MI
48089
US

V. Phone/Fax

Practice location:
  • Phone: 586-758-6263
  • Fax: 586-758-7725
Mailing address:
  • Phone: 586-758-6263
  • Fax: 586-758-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CARMELA MUELLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 586-758-6263