Primesource Of Michigan Llc - Dental Clinic in Southfield, MI

Primesource Of Michigan Llc is a dental clinic (Podiatrist) in Southfield, Michigan. The current practice location for Primesource Of Michigan Llc is 2000 Town Ctr, Suite 1900, Southfield, Michigan. For appointments, you can reach them via phone at (800) 317-0711. The mailing address for Primesource Of Michigan Llc is 2100 E Lake Cook Rd, Suite 1100, Buffalo Grove, Illinois and phone number is (800) 317-0711.

Primesource Of Michigan Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1114364346. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (800) 317-0711.

Contact Information

Primesource Of Michigan Llc
2000 Town Ctr
Suite 1900
Southfield
MI 48075-1135
(800) 317-0711
(877) 821-6402

Dental Care Clinic Profile

Full NamePrimesource Of Michigan Llc
SpecialityPodiatrist
Location2000 Town Ctr, Southfield, Michigan
Authorized Official Name and PositionDavid Fleming (CEO/PRESIDENT)
Authorized Official Contact8003170711
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1114364346
Provider Enumeration Date05/29/2013
Last Update Date05/29/2013

Medical Identifiers

Medical identifiers for Primesource Of Michigan Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114364346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Secondary
152W00000XOptometrist (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Primary
231H00000XAudiologist (* (Not Available))Secondary

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