Pine Trees Medical Office PC
Pine Trees Medical Office PC is an Internal Medicine Physician in Jerome, Michigan. Licensed in Michigan. Registered with an NPI since 2005.
- Licensed in
- MI
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11610 Waldron RdJerome, MI 49249-9637
Phone: (517) 688-4842
Fax: (517) 688-4842
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 4301028315 (MI) |
|---|
Record details
| NPI number | 1487648374 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roy Boyer — President · (517) 688-4842 |
| Other names | Mark A Kallus Md Pc |
| NPI enumerated | September 7, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 11610 Waldron Rd, Jerome, MI 49249-9637 |