# LATHRUP PRIMARY CARE PC

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

## Provider details

- **NPI number:** 1912248493
- **Authorized official:** MUNZER SAMAD MD (PRESIDENT)
- **Authorized official phone:** (248) 552-8195

## Contact information

- **Practice address:** 26631 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4530
- **Practice address phone:** (248) 552-8195
- **Practice address fax:** (248) 552-8537
- **Mailing address:** 26631 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4530
- **Mailing address phone:** (248) 552-8195
- **Mailing address fax:** (248) 552-8537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2013
- **Last updated:** 03/08/2013