| Primesource Of Michigan Llc | |
|
2000 Town Ctr Suite 1900 Southfield MI 48075-1135 | |
| (800) 317-0711 | |
| (877) 821-6402 |
| Full Name | Primesource Of Michigan Llc |
|---|---|
| Speciality | Podiatrist |
| Location | 2000 Town Ctr, Southfield, Michigan |
| Authorized Official Name and Position | David Fleming (CEO/PRESIDENT) |
| Authorized Official Contact | 8003170711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primesource Of Michigan Llc 2100 E Lake Cook Rd Suite 1100 Buffalo Grove IL 60089-1999 Ph: (800) 317-0711 | Primesource Of Michigan Llc 2000 Town Ctr Suite 1900 Southfield MI 48075-1135 Ph: (800) 317-0711 |
| NPI Number | 1114364346 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114364346 | NPI | - | NPPES |
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