# LEVINE LASER CENTER, PLLC

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

## Provider details

- **NPI number:** 1871652206
- **Authorized official:** DR. ROBERT C LEVINE M.D. (OWNER)
- **Authorized official phone:** (248) 646-8600

## Contact information

- **Practice address:** 1157 S ADAMS RD, BIRMINGHAM, MI 48009-7101
- **Practice address phone:** (248) 646-8600
- **Practice address fax:** (248) 646-4073
- **Mailing address:** 1157 S ADAMS RD, BIRMINGHAM, MI 48009-7101
- **Mailing address phone:** (248) 646-8600
- **Mailing address fax:** (248) 646-4073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301051449 | MI | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 10/01/2007
