Provider Demographics
NPI:1861597858
Name:POP, CLAUDIA MONICA (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:MONICA
Last Name:POP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15501 METROPOLITAN PKWY
Mailing Address - Street 2:STE 110
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-1684
Mailing Address - Country:US
Mailing Address - Phone:586-286-9720
Mailing Address - Fax:586-286-3134
Practice Address - Street 1:15501 METROPOLITAN PKWY
Practice Address - Street 2:STE 110
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-1684
Practice Address - Country:US
Practice Address - Phone:586-286-9720
Practice Address - Fax:586-286-3134
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2016-12-06
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Provider Licenses
StateLicense IDTaxonomies
MI4301082665207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G41056OtherBCBS GROUP NUMBER
MI0N71030Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER