MEDICARE: JAMES S GARFIELD DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101009666	MI

General Provider Information

NPI Number	:	1679950489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES S GARFIELD DO PC

Provider Business Mailing Address
First Line	:	17100 SILVER PKWY
Second Line	:	STE D
City	:	FENTON
State	:	MI
Zip	:	48430
Country	:	US
Telephone Number	:	810-629-2285
Fax Number	:	810-629-3586

Provider Business Practice Location Address
First Line	:	17100 SILVER PKWY
Second Line	:	STE D
City	:	FENTON
State	:	MI
Zip	:	48430-3468
Country	:	US
Telephone Number	:	810-629-2285
Fax Number	:	810-629-3856

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JAMES S. GARFIELD
Credential	:	DO
Telephone Number	:	810-629-2285

Provider Enumeration Date	:	04/30/2015
Last Update Date	:	08/26/2021

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