Healthcare Provider Details
I. General information
NPI: 1083149728
Provider Name (Legal Business Name): INFINITY PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2017
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
37595 7 MILE RD SUITE 230
LIVONIA MI
48152-1003
US
IV. Provider business mailing address
PO BOX 673135
DETROIT MI
48267-3135
US
V. Phone/Fax
- Phone: 734-853-5694
- Fax: 734-793-1998
- Phone: 734-464-8300
- Fax: 734-464-8300
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
STEINBERGER
Title or Position: PRESIDENT
Credential: MD
Phone: 734-793-2470