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Organization
PRIMARY CARE ASSOCIATES, PC
Active
Organization
PRIMARY CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY G MONTPETIT M.D. (PRESIDENT)
(586) 445-2330
Entity
Organization
Contact information
Practice address
18263 E 10 MILE RD STE B, ROSEVILLE, MI 48066-5805
(586) 445-2330
(586) 445-2352
Mailing address
18263 E 10 MILE RD STE B, ROSEVILLE, MI 48066-5805
(586) 445-2330
(586) 445-2352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GM048923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110042849
RAILROAD MEDICARE
—
01
—
110131072
RAILROAD MEDICARE
—
01
—
1105016431
BCBSM
MI
01
—
1105017110
BCBSM
MI
05
—
2708570
—
MI
05
—
3232662
—
MI
01
—
DM038055
STATE LICENSE
MI
01
—
GM048923
STATE LICENSE
MI
Enumeration date
06/24/2006
Last updated
04/15/2019
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