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Contact Information

MICHIGAN PRIMARY CARE PLLC
41400 DEQUINDRE RD STE 121
STERLING HEIGHTS, MI48314
 Phone: 586-843-3815
 Fax: 586-843-3920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHIGAN PRIMARY CARE PLLC · (Female)

NPI Number 1669799128
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2010
Last updated 05/16/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301064027
  • MI License # DM050196
  • MI License # ZP064027
  • MI Medicaid 1669799128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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