Park Place Family Practice & Internal Medicine

NPI #1891307443 in Taylor, Michigan

Provider Information

NPI Number: 1891307443
Entity Type: Organization
Organization Name: Park Place Family Practice & Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Aug 17, 2020
Last Updated: Jul 21, 2021

Practice Location

Address: 12701 TELEGRAPH RD STE 103
City: Taylor
State: Michigan
ZIP Code: 48180-4087
Phone: (734) 374-0500

Authorized Official

Name: SUSAN GOSWAMI
Title: OFFICE ADMIN
Phone: (734) 374-0500

Specialties & Taxonomy Codes

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

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