| Centerline Family Practice Center Pc | |
|
8033 E 10 Mile Rd Ste 105 Center Line MI 48015-1454 | |
| (586) 755-6101 | |
| Not Available |
| Full Name | Centerline Family Practice Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8033 E 10 Mile Rd Ste 105, Center Line, Michigan |
| Authorized Official Name and Position | Rita Shah (MEDICAL BILLER) |
| Authorized Official Contact | 5867543830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerline Family Practice Center Pc 8033 E 10 Mile Rd Ste 105 Center Line MI 48015-1454 Ph: (856) 755-6101 | Centerline Family Practice Center Pc 8033 E 10 Mile Rd Ste 105 Center Line MI 48015-1454 Ph: (586) 755-6101 |
| NPI Number | 1083858328 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083858328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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