# MLRC A MEDICAL GROUP PC

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

## Provider details

- **NPI number:** 1427563089
- **Authorized official:** ROBERT JOHN LAGROU D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 703-1869

## Contact information

- **Practice address:** 26803 RYAN RD, WARREN, MI 48091-4075
- **Practice address phone:** (818) 736-5836
- **Mailing address:** 7318 LINDENMERE DR, BLOOMFIELD, MI 48301-3531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 5101015978 | MI | Yes |

## Other

- **Enumeration date:** 12/05/2017
- **Last updated:** 12/05/2017