Organization
MICHIGAN PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROWN CPC (BILLING MANAGER)
(586) 251-2095
Entity
Organization
Contact information
Practice address
41400 DEQUINDRE RD STE 121, STERLING HEIGHTS, MI 48314
(586) 843-3815
(586) 843-3920
Mailing address
41400 DEQUINDRE RD STE 121, STERLING HEIGHTS, MI 48314-3751
(586) 843-3815
(586) 843-3920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DM050196
MI
174400000X
Specialist
Primary
ZP064027
MI
207R00000X
Internal Medicine Physician
4301064027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669799128
—
MI
Enumeration date
04/23/2010
Last updated
05/16/2024
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