Organization
GREAT PHYSICIANS, PC
Active
Other names
Carecore Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PASS (CREDENTIALING MANAGER)
(248) 820-1712
Entity
Organization
Contact information
Practice address
5032 ROCHESTER RD STE 200, TROY, MI 48085-3454
(248) 250-9029
(248) 250-9733
Mailing address
909 E MAPLE ST, HOLLY, MI 48442-1755
(248) 820-1712
(248) 469-0966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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