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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

NPI # 1669799128
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
MI License # 4301064027
MI License # DM050196
MI License # ZP064027
MI Medicaid 1669799128
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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