Provider Demographics
NPI:1891726212
Name:DIAL A DOC PC
Entity Type:Organization
Organization Name:DIAL A DOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:R
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-932-2932
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:UNION LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48387-0510
Mailing Address - Country:US
Mailing Address - Phone:248-599-9491
Mailing Address - Fax:248-599-9492
Practice Address - Street 1:1396 SCOTT LAKE ROAD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1578
Practice Address - Country:US
Practice Address - Phone:248-599-9491
Practice Address - Fax:248-599-9492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMR070661174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherEIN NUMBER