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Organization

MEADOWBROOK PRIMARY CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARJU SHAH M.D. (OWNER / PRESIDENT)
(734) 892-2712
Entity
Organization

Contact information

Practice address
2050 N HAGGERTY RD STE 260, CANTON, MI 48187-3796
(734) 892-2712
(734) 892-2714
Mailing address
2050 N HAGGERTY RD STE 260, CANTON, MI 48187-3796
(734) 892-2712
(734) 892-2714

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
02/13/2015
Last updated
04/18/2019
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