Primary Care Center
NPI #1568530053 in Lathrup Village, Michigan
Provider Information
- NPI Number
- 1568530053
- Entity Type
- Organization
- Organization Name
- Primary Care Center
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 18161 W 12 MILE RD
- Address 2
- SUITE 4
- City
- Lathrup Village
- State
- Michigan
- ZIP Code
- 48076-2662
- Phone
- (248) 443-7140
Authorized Official
- Name
- DR. NEERAN YOUSIF BAJOUKA, M.D.
- Title
- DOCTOR
- Phone
- (248) 443-7140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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