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Organization
PHOENIX MEDICAL GROUP, P.C.
Active
Organization
PHOENIX MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE G. BENDER (CEO)
(248) 304-7674
Entity
Organization
Contact information
Practice address
29201 TELEGRAPH RD, 450, SOUTHFIELD, MI 48034-1331
(248) 304-7659
(248) 423-4683
Mailing address
29201 TELEGRAPH RD, 450, SOUTHFIELD, MI 48034-1331
(248) 304-7659
(248) 479-8117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/09/2009
Last updated
03/21/2018
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