Heritage Medical Group

NPI 1407803927 - General Practice - 208D00000X

NPI Details
NPI 1407803927
Enumeration Date 05/29/2006
Last Updated 01/23/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FARZIN R FARZIN
Position OWNER
Phone (586) 443-5588
Fax (586) 443-5538
Practice Location
22301 KELLY RD
EASTPOINTE MI, 48021-2619, US
Phone (586) 443-5588
Fax (586) 443-5538
Business Location
PO BOX 3148
FARMINGTON HILLS MI, 48333-3148, US
Phone (586) 443-5588
Fax (586) 443-5538
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Heritage Medical Group NPI is 1407803927, taxonomy code is 208D00000X Heritage Medical Group physically located at 22301 Kelly Rd, Eastpointe MI, 48021-2619. NPI Number 1033115704 has the healthcare provider type.

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1407803927 NPI number is provided on an as is basis without warranty of any kind. 1407803927 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Medical Group are for informational purposes only.