Organization
INFINITY PRIMARY CARE, PLLC
Active
Other names
Associates in Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G DEIGHTON MD (PRESIDENT)
(734) 432-7581
Entity
Organization
Contact information
Practice address
5777 W MAPLE RD, SUITE 140, WEST BLOOMFIELD, MI 48322-2267
(248) 406-1000
(248) 406-1001
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F323720
BCBSM
MI
Enumeration date
04/14/2007
Last updated
08/05/2011
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