# CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033575030
- **Authorized official:** DR. ROBERT LEVINE MD (PRESIDENT)
- **Authorized official phone:** (313) 748-4200

## Contact information

- **Practice address:** 7430 2ND AVE, SUITE 210, DETROIT, MI 48202-2739
- **Practice address phone:** (313) 748-4200
- **Mailing address:** PO BOX 809393, CHICAGO, IL 60680-9393
- **Mailing address phone:** (313) 748-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 02/18/2016