Provider Demographics
NPI:1972605707
Name:MD HOUSE CALLS, PLLC
Entity Type:Organization
Organization Name:MD HOUSE CALLS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:STONE
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:586-530-8598
Mailing Address - Street 1:1600 KILBURN RD N
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3027
Mailing Address - Country:US
Mailing Address - Phone:586-530-8598
Mailing Address - Fax:
Practice Address - Street 1:27760 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-2300
Practice Address - Country:US
Practice Address - Phone:586-530-8598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061154207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty