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Organization

PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MICHAEL ZELCH M.D. (REPRESENTATIVE)
(586) 759-1100
Entity
Organization

Contact information

Practice address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 387-2100
(313) 387-2103
Mailing address
22605 VAN DYKE AVE, WARREN, MI 48089-2358
(586) 759-1100
(586) 759-2721

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4622920-11
MI
Enumeration date
04/11/2007
Last updated
05/21/2008
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