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Organization

PRIME HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT EARLE RAMPERSAUD M.D. (MEDICAL DIRECTOR)
(734) 330-3841
Entity
Organization

Contact information

Practice address
7321 N LILLEY RD, CANTON, MI 48187-2457
(734) 354-4210
Mailing address
7321 N LILLEY RD, CANTON, MI 48187-2457
(734) 354-4210

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301070717
MI

Other

Enumeration date
05/18/2011
Last updated
03/21/2012
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