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Prime Care Physician Pc
General Practice Physician in Madison Heights, Michigan
NPI 1568635282

Prime Care Physician Pc is a General Practice Physician based in Madison Heights, MI. Prime Care Physician Pc practices in Madison Heights, MI. The NPI Number for Prime Care Physician Pc is 1568635282 and holds a License No. 4301066341 (Michigan).

The current practice location address for Prime Care Physician Pc is 121 W 13 Mile Rd, Madison Heights, MI and can be reached out via phone at 248-583-0960 and via fax at 248-583-0961.

Location: 121 W 13 Mile Rd, Madison Heights, MI, 48071-1857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568635282
Provider Name
Prime Care Physician Pc
Credential
Provider Entity Type
Organization
Address
121 W 13 Mile Rd, Madison Heights, MI, 48071-1857
Phone Number
248-583-0960
Fax Number
248-583-0961
Provider Enumeration Date
04/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4593972 05 MI
institution
Provider Business Practice Location Address Details
Address
121 W 13 Mile Rd
City
Madison Heights
State
Michigan
Zip
48071-1857
Phone Number
248-583-0960
Fax Number
248-583-0961
person
Provider Business Mailing Address Details
Address
121 W 13 Mile Rd
City
Madison Heights
State
Michigan
Zip
48071-1857
Phone Number
248-583-0960
Fax Number
248-583-0961
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301066341 (Michigan)
Definition
Definition to come...
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