Family Medical Center of Michigan, INC

NPI #1063184174 in Detroit, Michigan

Provider Information

NPI Number: 1063184174
Entity Type: Organization
Organization Name: Family Medical Center of Michigan, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 6145 CANYON ST RM 26
City: Detroit
State: Michigan
ZIP Code: 48236-2009
Phone: (734) 847-3802

Authorized Official

Name: ED LARKINS
Title: CEO
Phone: (734) 850-6914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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