Organization · Type 2 NPI

Ptpeastpointe,p.c.

Primary Care Clinic/Center · Eastpointe, MI

NPI number 1962612606 Active

Practice location

15200 Eeast Ten Mile Road
Eastpointe, MI 48021-1010

Mailing address

15200 East Ten Mile Road
Eastpointe, MI 48021-1010

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X34874 (MI)

Primary Care Clinic/Center: Definition to come...

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About NPI 1962612606

Ptpeastpointe,p.c.'s National Provider Identifier is 1962612606, issued on May 23, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eastpointe, MI. The record was last updated on Dec 31, 2007.