OrganizationRoyal Oak Medical Center PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5130 Coolidge Hwy, Royal Oak, MI 48073-1001(248) 288-9500PECOS EnrollmentBased on the most recent information from CMS, provider Royal Oak Medical Center Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1437544772Provider TypeOrganizationFull NameRoyal Oak Medical Center PcSubpartNoEnumeration Date4/3/2015Last Updated4/3/2015Contact InformationPractice LocationPractice Address5130 Coolidge Hwy, Royal Oak, MI 48073-1001Phone(248) 288-9500Fax(248) 288-0044Mailing LocationMailing Address5130 Coolidge Hwy, Royal Oak, MI 48073-1001Phone(248) 288-9500Fax(248) 288-0044Authorized OfficialNameDietrick, Diane (Practice Admin)Phone(248) 288-9500Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301038490Michigan