Organization
PRIMECARE PHYSICIAN PARTNER
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH KUMAR GUPTA MD (FOUNDER AND CEO)
(201) 744-0694
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
544 ABBEY MILL DR SE, ADA, MI 49301-7732
(201) 744-0694
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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