SOUTHFIELD PREMIER PRIMARY CARE PLLC is a primary care clinic center in Southfield, MI. SOUTHFIELD PREMIER PRIMARY CARE PLLC NPI is 1417682766. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
17070 W 12 MILE RD STE A
SOUTHFIELD, MI
ZIP 48076-116
Phone: (248) 559-2280
Fax: (248) 559-3752
The provider's authorized official is Rafid Mansour .
The authorized official title is Medical Director/physician and has the following contact phone number (248) 559-2280.
The CLIA number assigned to this NPI record is 23D2288150 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/20/2022 and was last updated on 7/20/2022.