| Clinton River Affiliates Inc | |
|
31547 W 13 Mile Rd Farmington Hills MI 48334-2103 | |
| (985) 789-2534 | |
| Not Available |
| Full Name | Clinton River Affiliates Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 31547 W 13 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Scott Luke Sansovich (PRESIDENT) |
| Authorized Official Contact | 9857892534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton River Affiliates Inc 31547 W 13 Mile Rd Farmington Hills MI 48334-2103 Ph: (985) 789-2534 | Clinton River Affiliates Inc 31547 W 13 Mile Rd Farmington Hills MI 48334-2103 Ph: (985) 789-2534 |
| NPI Number | 1013432616 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013432616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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