Provider Demographics
NPI:1750373676
Name:ASSOCIATED INTERNISTS OF MACOMB PC
Entity type:Organization
Organization Name:ASSOCIATED INTERNISTS OF MACOMB PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIERSKALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-726-5566
Mailing Address - Street 1:50505 SCHOENHERR RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3140
Mailing Address - Country:US
Mailing Address - Phone:586-726-5566
Mailing Address - Fax:586-726-8085
Practice Address - Street 1:50505 SCHOENHERR RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-3141
Practice Address - Country:US
Practice Address - Phone:586-726-5566
Practice Address - Fax:586-726-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty