DEARBORN FAMILY CLINIC P.C. NPI 1013928035

NPI Information

DEARBORN FAMILY CLINIC, P.C. is a family medicine in Dearborn, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEARBORN FAMILY CLINIC, P.C. NPI is 1013928035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3133 S TELEGRAPH RD
DEARBORN, MI
ZIP 48124-472
Phone: (313) 565-6566
Fax: (313) 561-5554

The provider's authorized official is Claudia S Shannon .
The authorized official title is Office Manager and has the following contact phone number (313) 565-6566.

The CLIA number assigned to this NPI record is 23D0367206 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 10/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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