NPI 1669799128

Michigan Primary Care PLLC

Organisation Specialist Sterling Heights, MI

Practice location

Address: 41400 Dequindre Rd STE 121, Sterling Heights, MI 48314
Phone: (586) 843-3815
Fax: (586) 843-3920
Mailing address: 41400 Dequindre Rd STE 121, Sterling Heights, MI 48314-3751

Authorised official

Name: Lisa Brown
Title: Billing Manager
Phone: (586) 251-2095

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ZP064027 (MI)

Other Specialist providers in Michigan →

Specialist

Other Service Providers Taxonomy 174400000X Licence DM050196 (MI)

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 4301064027 (MI)

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1669799128
Entity type: Organization
NPI issued: 23 Apr 2010
Record last updated: 16 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.