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Organization

EPIC PRIMARY CARE II PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG NAMAN MD (MEMBER)
(248) 336-4000
Entity
Organization

Contact information

Practice address
18254 LIVERNOIS AVE STE 100, DETROIT, MI 48221-4214
(313) 861-4400
(248) 336-9137
Mailing address
PO BOX 20267, FERNDALE, MI 48220-0267
(248) 336-4000
(248) 336-9137

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/20/2015
Last updated
02/14/2017
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