Provider Demographics
NPI:1023291390
Name:P & A OF FARMINGTON HILLS, PC
Entity type:Organization
Organization Name:P & A OF FARMINGTON HILLS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARENTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-867-8706
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:UNION LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48327-0510
Mailing Address - Country:US
Mailing Address - Phone:248-599-9491
Mailing Address - Fax:
Practice Address - Street 1:44150 W 12 MILE RD
Practice Address - Street 2:STE 100
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377
Practice Address - Country:US
Practice Address - Phone:248-867-8706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIPP004701207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty