Family Medical Center of Michigan-Wagar Elementary

NPI #1275232001 in Carleton, Michigan

Provider Information

NPI Number: 1275232001
Entity Type: Organization
Organization Name: Family Medical Center of Michigan-Wagar Elementary
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Mar 1, 2023
Last Updated: Mar 1, 2023

Practice Location

Address: 11270 GRAFTON RD
City: Carleton
State: Michigan
ZIP Code: 48117-9392
Phone: (734) 654-2169

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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