Provider profile · NPI 1780348086

A3 Primary Care

Internal Medicine · Bloomfield Hills, MI · NPI 1780348086 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Internal Medicine

Enumerated

Oct 25, 2021

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION4050 W MAPLE RD STE B Bloomfield Hills, MI 48301-3148248-885-8211
MAILING4050 W MAPLE RD STE B Bloomfield Hills, MI 48301-3148248-885-8211

View on NPPES registry ↗

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