Organization
PRO-HEALTH MEDICAL FP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK BUTTAR MD (OWNER)
(248) 301-1090
Entity
Organization
Contact information
Practice address
3003 S BALDWIN RD STE B, LAKE ORION, MI 48359-2358
(248) 301-1090
Mailing address
3003 S BALDWIN RD STE B, LAKE ORION, MI 48359-2358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
04/30/2026
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