| NPI | 1164186946 |
|---|---|
| Doing Business As | THEORIA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DI REZZE CEO 313-610-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-03-14 |