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General NPI Number Information
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NPI Number | 1679663264
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MICHIGAN PC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1661 S HURON ST
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City | YPSILANTI
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State | MI
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Zip | 48197-9701
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Country | US
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Telephone | 734-480-1400
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Fax | 734-448-2765
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Provider Business Mailing Address
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Address Line | 1661 S HURON ST
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City | YPSILANTI
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State | MI
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Zip | 48197-9701
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Country | US
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Telephone | 734-480-1400
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Fax | 734-448-2765
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARGARET BALEMBA MEKAI-VEKIMA
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Credential | MD
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Telephone | 734-480-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4301070863
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License Number State | MI
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