Basic Information
| Provider Information | |||||||||
| NPI: | 1003114752 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BLUEMED CARE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2300 HAGGERTY RD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | WEST BLOOMFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483232184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486249800 | ||||||||
| FaxNumber: | 2486249825 | ||||||||
| Practice Location | |||||||||
| Address1: | 2300 HAGGERTY RD | ||||||||
| Address2: | SUITE 1190 | ||||||||
| City: | WEST BLOOMFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483232184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486249800 | ||||||||
| FaxNumber: | 2486249825 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2011 | ||||||||
| LastUpdateDate: | 03/04/2011 | ||||||||
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| AuthorizedOfficialLastName: | SAWYER | ||||||||
| AuthorizedOfficialFirstName: | KATHLEEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | COLLECTIONS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2486249800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | BR050401 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.