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Organization

EPIC PRIMARY CARE III PLLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
2040 MONROE ST STE 208, DEARBORN, MI 48124-2950
(248) 336-4000
(248) 336-9137
Mailing address
390 ENTERPRISE CT, SUITE 103, BLOOMFIELD HILLS, MI 48302-0320
(248) 336-4000
(248) 336-9137

Taxonomy

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

Other

Enumeration date
04/20/2015
Last updated
08/07/2015
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