Healthcare Provider Details

I. General information

NPI: 1891730537
Provider Name (Legal Business Name): FAMILY PHYSICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 PARKER DR
WAYLAND MI
49348-9064
US

IV. Provider business mailing address

1850 PARKER DR
WAYLAND MI
49348-9064
US

V. Phone/Fax

Practice location:
  • Phone: 616-406-7799
  • Fax:
Mailing address:
  • Phone: 616-406-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE OANH THAI
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 616-406-7799