Organization
ADVANCED PHYSICIAN CARE ORGANIZATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE TANGALOS MD (PRESIDENT)
(586) 726-4823
Entity
Organization
Contact information
Practice address
43455 SCHOENHERR RD, SUITE 17, STERLING HEIGHTS, MI 48313-1951
(586) 726-4823
Mailing address
4600 INVESTMENT DR, SUITE 300, TROY, MI 48098-6365
(248) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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