Farmbrook Family Practice Pllc
NPI #1417384199 in Southfield, Michigan
Provider Information
- NPI Number
- 1417384199
- Entity Type
- Organization
- Organization Name
- Farmbrook Family Practice Pllc
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 26, 2013
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 29877 TELEGRAPH RD
- Address 2
- SUITE 302
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-1332
- Phone
- (248) 796-7486
Authorized Official
- Name
- ANDREI KATYCHEV, M.D.
- Title
- OWNER
- Phone
- (248) 470-6038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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