MEDICARE: NORTHLAND FAMILY PLANNING CENTERS, WEST

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	174400000X	Specialist

General Provider Information

NPI Number	:	1093885352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHLAND FAMILY PLANNING CENTERS, WEST

Provider Business Mailing Address
First Line	:	35000 FORD RD
Second Line	:	SUITE 3
City	:	WESTLAND
State	:	MI
Zip	:	48185-3719
Country	:	US
Telephone Number	:	734-721-4700
Fax Number	:	734-721-9186

Provider Business Practice Location Address
First Line	:	35000 FORD RD
Second Line	:	SUITE 3
City	:	WESTLAND
State	:	MI
Zip	:	48185-3719
Country	:	US
Telephone Number	:	734-721-4700
Fax Number	:	734-721-9186

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RENEE CHELIAN
Credential	:
Telephone Number	:	734-721-4700

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	08/22/2020

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