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TROY FAMILY PRACTICE PLLC NPI 1366465270


NPI Information

NPI: 1366465270
Provider Name: TROY FAMILY PRACTICE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D1074737

Address:
2041 E SQUARE LAKE RD
SUITE 300
TROY, MI
ZIP 48085
Phone: (248) 813-0124
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TROY FAMILY PRACTICE PLLC is a family medicine in Troy, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TROY FAMILY PRACTICE PLLC NPI is 1366465270. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2041 E SQUARE LAKE RD
SUITE 300
TROY, MI
ZIP 48085
Phone: (248) 813-0124
Fax: (248) 879-0148

The provider's authorized official is Norah Duncan .
The authorized official title is Physician and has the following contact phone number (248) 813-0124.

The CLIA number assigned to this NPI record is 23D1074737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 10/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineSS072019MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H35626MEDICARE UPINMICHIGAN
26U4393MEDICARE UPINMICHIGAN
3I21923MEDICARE UPINMICHIGAN
4H47927MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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