Organization
SOUTHFIELD ESSENTIAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY CARTER (OFFICE MANAGER)
(248) 726-0618
Entity
Organization
Contact information
Practice address
24567 NORTHWESTERN HWY STE 509, SOUTHFIELD, MI 48075-2421
(248) 726-0618
Mailing address
24567 NORTHWESTERN HWY STE 509, SOUTHFIELD, MI 48075-2421
(248) 726-0618
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/22/2022
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