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Organization
PRIMARY CARE PHYSICIANS IV, P.C.
Active
Organization
PRIMARY CARE PHYSICIANS IV, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE GIBSON (DIRECTOR OF OPERATIONS)
(586) 498-8922
Entity
Organization
Contact information
Practice address
21331 KELLY RD, EASTPOINTE, MI 48021-3265
(586) 498-8922
(586) 498-8935
Mailing address
21331 KELLY RD, EASTPOINTE, MI 48021-3265
(586) 498-8922
(586) 498-8935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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