| Lawrence Usher Do Pc | |
|
3595 Wabeek Lake Dr W Bloomfield Hills MI 48302-1269 | |
| (586) 929-2988 | |
| (586) 929-2988 |
| Full Name | Lawrence Usher Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3595 Wabeek Lake Dr W, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Lawrence Joseph Usher (PRESIDENT) |
| Authorized Official Contact | 5869292988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Usher Do Pc Po Box 250943 W Bloomfield MI 48325-0943 Ph: (586) 929-2988 | Lawrence Usher Do Pc 3595 Wabeek Lake Dr W Bloomfield Hills MI 48302-1269 Ph: (586) 929-2988 |
| NPI Number | 1487637195 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487637195 | NPI | - | NPPES |
| 1011949 | Medicaid | MI | |
| 0F36316 | Other | MI | BCBS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 005506 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 4301069572 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 083559 (Michigan) | Secondary |
News Archive
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