Organization
DEARBORN PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANAJIT MUKHERJEE M.D. (PWNER)
(313) 562-9128
Entity
Organization
Contact information
Practice address
22260 GARRISON ST, DEARBORN, MI 48124-2208
(313) 562-9128
(313) 562-1020
Mailing address
22260 GARRISON ST, DEARBORN, MI 48124-2208
(313) 562-9128
(313) 562-1020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301060584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301060584
LICENSE
MI
Enumeration date
02/19/2014
Last updated
02/19/2014
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