Provider Demographics
NPI:1710699624
Name:THE CARE TEAM-PRIMARY CARE PROVIDERS PLLC
Entity Type:Organization
Organization Name:THE CARE TEAM-PRIMARY CARE PROVIDERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PRIMARY CARE
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:MUSIOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-674-9152
Mailing Address - Street 1:30600 NORTHWESTERN HWY STE 245
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3171
Mailing Address - Country:US
Mailing Address - Phone:248-957-1999
Mailing Address - Fax:888-990-0589
Practice Address - Street 1:30600 NORTHWESTERN HWY STE 245
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3171
Practice Address - Country:US
Practice Address - Phone:248-957-1999
Practice Address - Fax:888-990-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty