Vanguard Family Health Care Pc

NPI 1194864462 - Family Medicine - 207Q00000X

NPI Details
NPI 1194864462
Enumeration Date 02/05/2007
Last Updated 08/07/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LINDA LINDA
Position SECRETARY
Phone (313) 824-1000
Fax (313) 824-9000
Practice Location
10809 MACK AVE
DETROIT MI, 48214-2119, US
Phone (313) 824-1000
Fax (313) 824-9000
Business Location
10809 MACK AVE
DETROIT MI, 48214-2119, US
Phone (313) 824-1000
Fax (313) 824-9000
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number MP005908
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According to our database, Vanguard Family Health Care Pc NPI is 1194864462, taxonomy code is 207Q00000X and license number is MP005908, license state is located at Michigan. Vanguard Family Health Care Pc physically located at 10809 Mack Ave, Detroit MI, 48214-2119. NPI Number 1033115704 has the healthcare provider type.

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1194864462 NPI number is provided on an as is basis without warranty of any kind. 1194864462 is maintained by the National Plan & Provider Enumeration System. The contents of Vanguard Family Health Care Pc are for informational purposes only.