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Organization
PARTRIDGE FAMILY PHYSICIANS PC
Active
Organization
PARTRIDGE FAMILY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY COCKREAM (BILLER)
(586) 228-0780
Entity
Organization
Contact information
Practice address
43201 COMMONS DRIVE, CLINTON TWP, MI 48038
(586) 228-0780
(586) 228-1809
Mailing address
43201 COMMONS DRIVE, CLINTON TWP, MI 48038
(586) 228-0780
(586) 228-1809
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06329
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/03/2007
Last updated
11/16/2009
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