FAMILY MEDICINE PC NPI 1417921628

NPI Information

FAMILY MEDICINE PC is a family medicine in Southfield, 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. FAMILY MEDICINE PC NPI is 1417921628. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

29255 NORTHWESTERN HWY
SUITE 203
SOUTHFIELD, MI
ZIP 48034-018
Phone: (248) 557-0535
Fax: (248) 557-6145

The provider's authorized official is Rodrigo Tobar .
The authorized official title is Secretary/treasurer and has the following contact phone number (248) 557-0535.

The CLIA number assigned to this NPI record is 23D0365028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 1/18/2012.

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

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