# METRO MEDICAL PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Medical Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427096064
- **Authorized official:** NATALIA RUTKOVSKY (OFFICE MENAGER)
- **Authorized official phone:** (248) 524-9085

## Contact information

- **Practice address:** 2891 E MAPLE RD, SUITE 102, TROY, MI 48083-6106
- **Practice address phone:** (248) 524-9085
- **Practice address fax:** (248) 524-9086
- **Mailing address:** 2891 E MAPLE RD, SUITE 102, TROY, MI 48083-6106
- **Mailing address phone:** (248) 524-9085
- **Mailing address fax:** (248) 524-9086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | TU034870 | MI | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 02/29/2024
