Organization
INFINITY PRIMARY CARE, PLLC
Active
Other names
West Bloomfield Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G. DEIGHTON M.D. (PRESIDENT)
(734) 432-7581
Entity
Organization
Contact information
Practice address
28455 HAGGERTY RD, SUITE #100, NOVI, MI 48377-2982
(248) 553-2200
(248) 553-2201
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F323740
BCBSM
MI
Enumeration date
04/18/2007
Last updated
03/25/2011
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