| Dovetail Family Practice | |
|
636 Borgess Ave Monroe MI 48162-2713 | |
| (734) 244-5515 | |
| Not Available |
| Full Name | Dovetail Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 636 Borgess Ave, Monroe, Michigan |
| Authorized Official Name and Position | Susan Jane Hulsemann (PRESIDENT) |
| Authorized Official Contact | 7342445515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dovetail Family Practice 636 Borgess Ave Monroe MI 48162-2713 Ph: (734) 244-5515 | Dovetail Family Practice 636 Borgess Ave Monroe MI 48162-2713 Ph: (734) 244-5515 |
| NPI Number | 1285943670 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285943670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301069503 (Michigan) | Primary |
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