Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Place Family Practice & Internal Medicine

Organization Family Medicine Physician · NPI 1891307443

Park Place Family Practice & Internal Medicine is a Family Medicine Physician in Taylor, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

12701 Telegraph Rd Ste 103
Taylor, MI 48180-4087
Phone: (734) 374-0500
Fax: (734) 374-2415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1891307443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Goswami — Office Admin · (734) 374-0500
NPI enumeratedAugust 17, 2020
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021
Mailing address12701 Telegraph Rd Ste 103, Taylor, MI 48180-4087

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