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Organization
PRIMARY CARE CENTER
Active
Organization
PRIMARY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEERAN YOUSIF BAJOUKA M.D. (DOCTOR)
(248) 443-7140
Entity
Organization
Contact information
Practice address
18161 W 12 MILE RD, SUITE 4, LATHRUP VILLAGE, MI 48076-2662
(248) 443-7140
(248) 443-7141
Mailing address
18161 W 12 MILE RD, SUITE 4, LATHRUP VILLAGE, MI 48076-2662
(248) 443-7140
(248) 443-7141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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