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NPI Code Detail

MEDICARE: FAMILY HEALTH PC

MEDICARE: FAMILY HEALTH PC
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
1261Q00000XClinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CC3713OTHERMIRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1700H21076OTHERMIBCBSM

General Provider Information

NPI Number : 1184677866
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTH PC
Provider Business Mailing Address
First Line : 19020 FORT ST
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-6701
Country : US
Telephone Number : 734-362-5100
Fax Number : 734-362-5147
Provider Business Practice Location Address
First Line : 19020 FORT ST
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-6701
Country : US
Telephone Number : 734-362-5100
Fax Number : 734-362-5147
Authorized Official
Title or Position : BUSINESS MANAGER
Name : CHRISTINE M LEROY
Credential :
Telephone Number : 734-362-5132
Provider Enumeration Date : 05/17/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1669963047 — DR. LATORYA ANN HAMILTON MD
Practice Location Address:
19020 FORT ST
RIVERVIEW, MI
48193-6701
Practice Phone: 734-362-5100
Practice Fax:
1568413367 — HENRY M JURASEK M.D.
Practice Location Address:
19020 FORT ST
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1528019155 — SUSAN JURASEK M.D.
Practice Location Address:
19020 FORT ST
RIVERVIEW, MI
48193-6701
Practice Phone: 734-362-5100
Practice Fax: 734-362-5147
1205880192 — ROBERT G VACLAV D.O.
Practice Location Address:
19020 FORT ST
RIVERVIEW, MI
48193-6701
Practice Phone: 734-362-5100
Practice Fax: 734-362-5147
1912951807 — MAURA P O'CONNELL D.O.
Practice Location Address:
19020 FORT ST
RIVERVIEW, MI
48193-6701
Practice Phone: 734-362-5100
Practice Fax: 734-362-5147
1093820573 — NORA S CREIGHTON FNP-BC
Practice Location Address:
19020 FORT ST
RIVERVIEW, MI
48193-6701
Practice Phone: 734-362-5100
Practice Fax: 734-362-5147

Directions to “FAMILY HEALTH PC ” Practice Location

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