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

St Clair Adult Medicine Specialists PC

Organization Internal Medicine Physician · NPI 1508864620

St Clair Adult Medicine Specialists PC is an Internal Medicine Physician in Saint Clair Shores, 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.

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Practice location Address checks out

23411 Jefferson Ave Ste 100
Saint Clair Shores, MI 48080-1949
Phone: (586) 778-4080
Fax: (586) 778-6055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MH404922 (MI)

Record details

NPI number1508864620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Hardwicke — Owner/Physician · (586) 778-4080
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 16, 2010
Mailing addressPo Box 673215, Detroit, MI 48267-3215

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