Medpal Health Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDPAL HEALTH CLINIC PC

Practice address

6743 Highland Rd Ste 5
Waterford, MI 48327-1654

Phone

(248) 212-0422

Fax

(248) 212-0423

NPI assigned

Jun 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamber Townsend, MD

Title

Administrator

Phone

(248) 212-0422

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124548938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 HIGHLAND RD STE 5",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271654",
            "telephone_number": "248-212-0422",
            "fax_number": "248-212-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 HIGHLAND RD STE 5",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271654",
            "telephone_number": "248-212-0422",
            "fax_number": "248-212-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPAL HEALTH CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "TAMBER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-212-0422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.