ARBOR LANE FAMILY PHYSICIANS PLC NPI 1205835931

NPI Information

NPI: 1205835931
Provider Name: ARBOR LANE FAMILY PHYSICIANS PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8555 N SILVERY LN
SUITE C302
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 561-0550
Get Directions

ARBOR LANE FAMILY PHYSICIANS PLC is a family medicine in Dearborn Heights, 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. ARBOR LANE FAMILY PHYSICIANS PLC NPI is 1205835931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8555 N SILVERY LN
SUITE C302
DEARBORN HEIGHTS, MI
ZIP 48127-379
Phone: (313) 561-0550
Fax: (313) 561-3646

The provider's authorized official is Gary Gazella .
The authorized official title is Owner/physician and has the following contact phone number (313) 561-0550.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 4/7/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		GG034127	MICHIGAN	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4492601	MEDICAID	MICHIGAN
2	0N69060	MEDICARE PIN	MICHIGAN
3	A77142	MEDICARE UPIN	MICHIGAN
4	B47346	MEDICARE UPIN	MICHIGAN
5	4492586	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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