Healthcare Provider Details

I. General information

NPI: 1124216197
Provider Name (Legal Business Name): GARDEN CITY FAMILY PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30900 FORD RD
GARDEN CITY MI
48135-1892
US

IV. Provider business mailing address

30900 FORD RD
GARDEN CITY MI
48135-1892
US

V. Phone/Fax

Practice location:
  • Phone: 734-524-0920
  • Fax: 734-524-0921
Mailing address:
  • Phone: 734-524-0920
  • Fax: 734-524-0921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA FRANCU
Title or Position: OWNER
Credential: MD
Phone: 734-524-0920