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NPI Verification

National Provider Identifier: 1104144526

A.w.c. Fairclough MD PC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

989 UNIVERSITY DR

SUITE 107

PONTIAC, MI 483421885

Phone: 248-334-4773

NPI Enumeration Date

May 10, 2010

NPI Number

1104144526

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry