Provider Demographics
NPI:1730139684
Name:COMMERCE INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:COMMERCE INTERNAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-363-1500
Mailing Address - Street 1:5477 ARDON CT
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2072
Mailing Address - Country:US
Mailing Address - Phone:248-738-0929
Mailing Address - Fax:
Practice Address - Street 1:9640 COMMERCE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48382-4166
Practice Address - Country:US
Practice Address - Phone:248-363-1500
Practice Address - Fax:248-363-1638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty