# INFINITY PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vital Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629307715
- **Authorized official:** KEVIN G DEIGHTON MD (PRESIDENT)
- **Authorized official phone:** (734) 432-7581

## Contact information

- **Practice address:** 37669 PEMBROKE AVE, LIVONIA, MI 48152-1050
- **Practice address phone:** (734) 853-4901
- **Mailing address:** 17197 N LAUREL PARK DR, SUITE 540, LIVONIA, MI 48152-2680
- **Mailing address phone:** (734) 853-4901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2009
- **Last updated:** 03/25/2011