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Healthcare OrganizationNPPES Entity Type 2
PRIMARY CARE CENTER
Registered Details
- NPI
- 1568530053
- Taxonomy
- Healthcare Organization
- Code
- 207R00000X
Location & Contact
18161 W 12 MILE RD, LATHRUP VILLAGE, MI, 480762662
2484437140
Verify at the source
This organization's record is drawn from the National Plan and Provider Enumeration System (NPPES), maintained by the Centers for Medicare & Medicaid Services.
View on NPPES Registry