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SUPERIOR FAMILY MEDICINE CLINIC PC NPI 1861728362


NPI Information

NPI: 1861728362
Provider Name: SUPERIOR FAMILY MEDICINE CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
23077 GREENFIELD RD STE 489
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 395-6312
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SUPERIOR FAMILY MEDICINE CLINIC 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. SUPERIOR FAMILY MEDICINE CLINIC PC NPI is 1861728362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23077 GREENFIELD RD STE 489
SOUTHFIELD, MI
ZIP 48075-740
Phone: (248) 395-6312
Fax: (248) 395-6314

The provider's authorized official is Jira G Coumarbatch .
The authorized official title is Owner and has the following contact phone number (313) 247-7270.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 4/28/2024

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