Henry Ford West Bloomfield Physicans

NPI 1083010755 - Family Medicine - 207Q00000X

NPI Details
NPI 1083010755
Enumeration Date 11/07/2014
Last Updated 02/12/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARK MARK
Position PHYSICIAN
Phone (248) 360-6000
Fax
Practice Location
39525 W 14 MILE RD
SUITE 101
NOVI MI, 48377-1632, US
Phone (248) 360-6000
Fax
Business Location
PO BOX 674852
DETROIT MI, 48267-4852, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Henry Ford West Bloomfield Physicans NPI is 1083010755, taxonomy code is 207Q00000X Henry Ford West Bloomfield Physicans physically located at 39525 W 14 Mile Rd, Novi MI, 48377-1632. NPI Number 1033115704 has the healthcare provider type.

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1083010755 NPI number is provided on an as is basis without warranty of any kind. 1083010755 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Ford West Bloomfield Physicans are for informational purposes only.