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Organization
MEDPRO PRIMARY CARE PLLC
Active
Organization
MEDPRO PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RUEDISUELI PA (OWNER)
(734) 315-7070
Entity
Organization
Contact information
Practice address
17901 HURON RIVER DR, NEW BOSTON, MI 48164-3200
(734) 315-7070
Mailing address
17901 HURON RIVER DR, NEW BOSTON, MI 48164-3200
(734) 315-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/11/2021
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