OrganizationActive
Shores Primary Care, P.C.
NPI 1629110804 · Legal Medicine · Saint Clair Shores, MI
Provider details
- NPI number
- 1629110804
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Authorized official
- Ronald Barnett, Owner
Practice location
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone: (586) 772-7180
Fax: (586) 279-0033
Mailing address
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.