Individual
DR. MICHAEL J PRIMC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.076042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2123302
—
OH
Enumeration date
03/13/2007
Last updated
02/04/2021
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