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Organization
PRIMARY CHILD AND ADULT RENOWNED EXCELLENCE PC
Active
Organization
PRIMARY CHILD AND ADULT RENOWNED EXCELLENCE PC
Active
Other names
PRIMARY C A R E PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED S NAMAN M.D. (PRESIDENT)
(248) 709-7800
Entity
Organization
Contact information
Practice address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 542-3300
(248) 542-0329
Mailing address
1315 PORTERS LN, BLOOMFIELD HILLS, MI 48302-0943
(248) 709-7800
(248) 334-8585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
Primary
—
MI
208000000X
Pediatrics Physician
—
MI
Other
Enumeration date
07/25/2011
Last updated
08/02/2011
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