Provider Demographics
NPI:1609966696
Name:NORTH WOODWARD INTERNAL MEDICINE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NORTH WOODWARD INTERNAL MEDICINE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-655-2641
Mailing Address - Street 1:555 W 14 MILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48017-3100
Mailing Address - Country:US
Mailing Address - Phone:248-655-1400
Mailing Address - Fax:248-655-2646
Practice Address - Street 1:555 W 14 MILE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-3100
Practice Address - Country:US
Practice Address - Phone:248-655-1400
Practice Address - Fax:248-655-2646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM73660Medicare ID - Type UnspecifiedSTEPHEN J. DRIKER, M.D.
MIG84227Medicare UPIN
MIH45682Medicare UPIN
MIOM73660Medicare ID - Type UnspecifiedJENNIFER B. DRIKER, M.D.
MIH29317Medicare UPIN
MIOM73660Medicare ID - Type UnspecifiedSUSAN PEARCE PIKAL, M.D.
MIG24256Medicare UPIN
MIOM73660Medicare ID - Type UnspecifiedSTEVEN C. MCCLELLLAND
MIOM73660Medicare ID - Type UnspecifiedDEBORAH S. LAMBRECHT, M.D
MIH24624Medicare UPIN
MIH86208Medicare UPIN