| Theoria Primary Care | |
|
6247 Grand River Rd Ste 400 Brighton MI 48114-5326 | |
| (810) 215-7177 | |
| (313) 217-3334 |
| Full Name | Theoria Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 6247 Grand River Rd Ste 400, Brighton, Michigan |
| Authorized Official Name and Position | Justin Di Rezze (CEO) |
| Authorized Official Contact | 3136108402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theoria Primary Care 41800 W 11 Mile Rd Ste 109 Novi MI 48375-1818 Ph: () - | Theoria Primary Care 6247 Grand River Rd Ste 400 Brighton MI 48114-5326 Ph: (810) 215-7177 |
| NPI Number | 1164186946 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164186946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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