Famly Medical Center of Michigan, INC

NPI #1639421035 in Temperance, Michigan

Provider Information

NPI Number: 1639421035
Entity Type: Organization
Organization Name: Famly Medical Center of Michigan, INC
Primary Specialty: Dentist
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 8765 LEWIS AVE
City: Temperance
State: Michigan
ZIP Code: 48182-9583
Phone: (734) 847-3802

Authorized Official

Name: MR. ED LARKINS
Title: EXECUTIVE DIRECTOR
Phone: (734) 850-6914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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