PIIM - Internal Medicine primary care physician practice...Email us with Billing Inquiries

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NEW! Contact the Billing Dept. via email!

Do you have an inquiry regarding a bill from Partners in Internal Medicine? Please complete the following form and we will call or email you with a response within 3 business days. You may also contact us by telephone for a quicker response: 734-622-9697

Fields marked with an asterisk * are required in order to process your information.

* Today's Date:
Your Primary Office Location:		Ann Arbor Canton
* Patient Name:
* Date of Birth:
PIIM Account Number (5-7 digits):

Primary Care Physician:

* Type of Insurance:

Contract Number:

Group Number:

* How would you prefer to be contacted?:

Telephone E-mail

* Email address:

Phone Number:

* Your question or message
to the Billing Department:

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