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Organization

MLRC A MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JOHN LAGROU D.O. (MEDICAL DIRECTOR)
(248) 703-1869
Entity
Organization

Contact information

Practice address
26803 RYAN RD, WARREN, MI 48091-4075
(818) 736-5836
Mailing address
7318 LINDENMERE DR, BLOOMFIELD, MI 48301-3531

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
5101015978
MI

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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