Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastside Internal Medicine PC

Organization Internal Medicine Physician · NPI 1831201821

Eastside Internal Medicine PC is an Internal Medicine Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28315 Harper Ave
Saint Clair Shores, MI 48081-1687
Phone: (586) 552-1710
Fax: (586) 552-1715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301049083 (MI)

Record details

NPI number1831201821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Eckenwiler — Office Manager · (586) 552-1710
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 21, 2011
Mailing address28315 Harper Ave, Saint Clair Shores, MI 48081-1687

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