| Primary Care Internal Medicine | |
|
20276 Middlebelt Suite 7 Livonia MI 48152-2054 | |
| (248) 477-8000 | |
| (248) 477-8300 |
| Full Name | Primary Care Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 20276 Middlebelt, Livonia, Michigan |
| Authorized Official Name and Position | Kevin G Deighton (PRESIDENT) |
| Authorized Official Contact | 7344327581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Internal Medicine 17197 N Laurel Park Dr Suite 540 Livonia MI 48152-2680 Ph: (734) 853-4901 | Primary Care Internal Medicine 20276 Middlebelt Suite 7 Livonia MI 48152-2054 Ph: (248) 477-8000 |
| NPI Number | 1013132240 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013132240 | NPI | - | NPPES |
| 110H222740 | Other | MI | BCBSM |
| 110H22740 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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