Family & Sports Medical Center

NPI 1740280676 - Family Medicine - 207QS0010X

NPI Details
NPI 1740280676
Enumeration Date 07/21/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER/PHYSICIAN
Phone (734) 455-2970
Fax (313) 561-0277
Practice Location
965 S MAIN ST
PLYMOUTH MI, 48170-2048, US
Phone (734) 455-2970
Fax (313) 561-0277
Business Location
965 S MAIN ST
PLYMOUTH MI, 48170-2048, US
Phone (734) 455-2970
Fax (313) 561-0277
Toxanomy
Taxonomy Code 207QS0010X
License State Michigan
License Number RG008180
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According to our database, Family & Sports Medical Center NPI is 1740280676, taxonomy code is 207QS0010X and license number is RG008180, license state is located at Michigan. Family & Sports Medical Center physically located at 965 S Main St, Plymouth MI, 48170-2048. NPI Number 1033115704 has the healthcare provider type.

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1740280676 NPI number is provided on an as is basis without warranty of any kind. 1740280676 is maintained by the National Plan & Provider Enumeration System. The contents of Family & Sports Medical Center are for informational purposes only.