Provider Demographics
NPI:1508143470
Name:PREFERRED HOSPITALISTS OF MICHIGAN
Entity Type:Organization
Organization Name:PREFERRED HOSPITALISTS OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-582-7632
Mailing Address - Street 1:27450 SCHOENHERR RD
Mailing Address - Street 2:500
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6683
Mailing Address - Country:US
Mailing Address - Phone:586-582-7632
Mailing Address - Fax:
Practice Address - Street 1:15855 19 MILE RD
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-3504
Practice Address - Country:US
Practice Address - Phone:586-630-3624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty