Healthcare Provider Details

I. General information

NPI: 1730128190
Provider Name (Legal Business Name): FARMINGTON HILLS MEDICAL CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30840 NORTHWESTERN HWY SUITE 110
FARMINGTON HILLS MI
48334-2552
US

IV. Provider business mailing address

3316 PARKLAND DR
WEST BLOOMFIELD MI
48322-1828
US

V. Phone/Fax

Practice location:
  • Phone: 248-626-0199
  • Fax:
Mailing address:
  • Phone: 248-626-6345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS JACOB PATTY
Title or Position: CEO
Credential: PHD
Phone: 248-626-0199