Individual
DR. ERIC A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2800 BALTANE RD, WEST BLOOMFIELD, MI 48323-3100
(734) 464-0887
(734) 402-0254
Mailing address
4967 CROOKS RD, STE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437135134
—
MI
01
—
507906
CARE-PREFERRED CHOICES
MI
01
—
5630465
BCBS INDIVIDUAL
MI
01
—
700H219150
BLUE SHIELD
MI
Enumeration date
12/15/2005
Last updated
09/17/2015
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