Unknown Individual – Family Medicine Physician, NPI 1104889773
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Adams Road, Foxboro, Rochester Hills, Oakland County, Michigan, 48309, United States
STE A
ROCHESTER, MI 483061416
Phone: (248) 475-4301
Fax: (248) 475-4305
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48306)
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