Organization
ADULT PATIENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHER ATA MD (MEDICAL DIRECTOR)
(248) 707-6060
Entity
Organization
Contact information
Practice address
5496 SAINT ANDREW DR, CLARKSTON, MI 48348-4836
(248) 707-6060
Mailing address
5496 SAINT ANDREW DR, CLARKSTON, MI 48348-4836
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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