An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1669799128 |
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| LBN Legal business name | MICHIGAN PRIMARY CARE PLLC | ||||||||||||||||
| Authorized official | LISA BROWN - (BILLING MANAGER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 04/23/2010 | ||||||||||||||||
| Last updated | 05/16/2024 - About 2 years ago | ||||||||||||||||
| Identifiers |
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