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NPI Verification

National Provider Identifier: 1780734095

A Access PC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

15530 KING RD

RIVERVIEW, MI 481937943

Phone: 734-479-2380

NPI Enumeration Date

January 11, 2007

NPI Number

1780734095

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry