Organization · Type 2 NPI
Elite Provider Group PC
Family Medicine Physician · Clarkston, MI
Practice location
5900 Waldon Rd Ste A
Clarkston, MI 48346-4806
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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About NPI 1093602229
Elite Provider Group PC's National Provider Identifier is 1093602229, issued on Jun 20, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clarkston, MI. The record was last updated on Sep 4, 2025.