Provider Demographics
NPI:1750454849
Name:PERSONAL HEALTH CARE, P.C.
Entity Type:Organization
Organization Name:PERSONAL HEALTH CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROUTUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-291-4444
Mailing Address - Street 1:22021 ECORSE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-1847
Mailing Address - Country:US
Mailing Address - Phone:313-291-4444
Mailing Address - Fax:
Practice Address - Street 1:22021 ECORSE RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-1847
Practice Address - Country:US
Practice Address - Phone:313-291-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008594207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0Q26421OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI0Q26421OtherBLUE CROSS BLUE SHIELD OF MICHIGAN