| Primecare Medical Centers Of Michigan, P.l.l.c. | |
|
25429 Van Dyke Ave Center Line MI 48015-1825 | |
| (586) 759-1100 | |
| (586) 759-2721 |
| Full Name | Primecare Medical Centers Of Michigan, P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 25429 Van Dyke Ave, Center Line, Michigan |
| Authorized Official Name and Position | James Michael Zelch (REPRESENTATIVE) |
| Authorized Official Contact | 5867591100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Medical Centers Of Michigan, P.l.l.c. 25429 Van Dyke Ave Center Line MI 48015-1825 Ph: (586) 759-1100 | Primecare Medical Centers Of Michigan, P.l.l.c. 25429 Van Dyke Ave Center Line MI 48015-1825 Ph: (586) 759-1100 |
| NPI Number | 1427271808 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427271808 | NPI | - | NPPES |
| 4622930-10 | Medicaid | MI | |
| 080E017980 | Other | MI | BCBS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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