Western Wayne Family Physicians, Plc
NPI #1629263520 in Allen Park, Michigan
Provider Information
- NPI Number
- 1629263520
- Entity Type
- Organization
- Organization Name
- Western Wayne Family Physicians, Plc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 7445 ALLEN RD
- Address 2
- SUITE 250
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-1963
- Phone
- (313) 386-5500
Authorized Official
- Name
- DR. ROBERT J JACKSON, M.D.
- Title
- OWNER / SECRETARY
- Phone
- (313) 386-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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