| Main Street Family Medicine P C | |
|
422 N Center St Northville MI 48167-1224 | |
| (248) 348-1131 | |
| (248) 348-1170 |
| Full Name | Main Street Family Medicine P C |
|---|---|
| Speciality | Family Medicine |
| Location | 422 N Center St, Northville, Michigan |
| Authorized Official Name and Position | Nathan J Bloch (CEO) |
| Authorized Official Contact | 2483481131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Medicine P C 422 N Center St Northville MI 48167-1224 Ph: (248) 348-1131 | Main Street Family Medicine P C 422 N Center St Northville MI 48167-1224 Ph: (248) 348-1131 |
| NPI Number | 1427194927 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427194927 | NPI | - | NPPES |
| 4118116 | Medicaid | MI | |
| CG4894 | Other | MI | MEDICARE RAILROAD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Dpvm Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51181 Chamberlin Ct, Northville, MI 48167 Phone: 734-560-0543 | |
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