| Farmington Hills Medical Center, Pc | |
|
30840 Northwestern Hwy Suite 110 Farmington Hills MI 48334-2552 | |
| (248) 626-0199 | |
| Not Available |
| Full Name | Farmington Hills Medical Center, Pc |
|---|---|
| Speciality | General Practice |
| Location | 30840 Northwestern Hwy, Farmington Hills, Michigan |
| Authorized Official Name and Position | Thomas Jacob Patty (CEO) |
| Authorized Official Contact | 2486260199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Hills Medical Center, Pc 3316 Parkland Dr West Bloomfield MI 48322-1828 Ph: (248) 626-6345 | Farmington Hills Medical Center, Pc 30840 Northwestern Hwy Suite 110 Farmington Hills MI 48334-2552 Ph: (248) 626-0199 |
| NPI Number | 1730128190 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730128190 | NPI | - | NPPES |
| 080F32080 | Other | MI | BCBSM |
| DD5259 | Other | MI | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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