Medpro Primary Care Pllc

NPI #1639700107 in New Boston, Michigan

Provider Information

NPI Number: 1639700107
Entity Type: Organization
Organization Name: Medpro Primary Care Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Feb 3, 2020
Last Updated: Feb 11, 2021

Practice Location

Address: 17901 HURON RIVER DR
City: New Boston
State: Michigan
ZIP Code: 48164-3200
Phone: (734) 315-7070

Authorized Official

Name: JOSHUA RUEDISUELI, PA
Title: OWNER
Phone: (734) 315-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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