| Organization Name: | PHYSICIANS RESIDENTIAL SERVICES, P.C. |
| NPI Number: | 1700866811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWIN J SOLER-VALCOURT (PRESIDENT) |
| Mailing Address: | 20927 Kelly Rd Eastpointe |
| State: | MI US |
| Postal Code: | 480213128 |
| Phone Number: | 5867778801 |
| Fax Number: | 5867779988 |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 12/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301068676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |