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Organization

INFINITY PRIMARY CARE, PLLC

Active
Other names
Diagnostic Center
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN G DEIGHTON MD (PRESIDENT)
(734) 853-4901
Entity
Organization

Contact information

Practice address
28455 HAGGERTY RD, SUITE 102, NOVI, MI 48377-2982
(248) 553-0050
(248) 553-7899
Mailing address
17197 N LAUREL PARK DR, SUITE 540, LIVONIA, MI 48152-2680
(734) 853-4901
(734) 853-4900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207UN0901X
Nuclear Cardiology Physician
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700F323730
BCBSM
MI
Enumeration date
04/04/2007
Last updated
03/29/2011
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