Organization
PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL ZELCH M.D. (REPRESENTATIVE)
(586) 759-1100
Entity
Organization
Contact information
Practice address
25429 VAN DYKE AVE, CENTER LINE, MI 48015-1825
(586) 759-1100
(586) 759-2721
Mailing address
25429 VAN DYKE AVE, CENTER LINE, MI 48015-1825
(586) 759-1100
(586) 759-2721
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080E017980
BCBS GROUP #
MI
05
—
4622930-10
—
MI
Enumeration date
04/11/2007
Last updated
11/18/2009
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