Healthcare Provider Details

I. General information

NPI: 1447583612
Provider Name (Legal Business Name): METRO DOCTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2009
Last Update Date: 09/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31171 COUNTRY RIDGE CIR
FARMINGTON HILLS MI
48331-1119
US

IV. Provider business mailing address

31171 COUNTRY RIDGE CIR
FARMINGTON HILLS MI
48331-1119
US

V. Phone/Fax

Practice location:
  • Phone: 248-722-4777
  • Fax:
Mailing address:
  • Phone: 248-722-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY WILMOT BARNES
Title or Position: OWNER
Credential:
Phone: 248-722-4777