| Mi Family Medical Center | |
|
23985 Novi Rd Ste B102 Novi MI 48375-5436 | |
| (248) 983-1130 | |
| (833) 983-2929 |
| Full Name | Mi Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 23985 Novi Rd Ste B102, Novi, Michigan |
| Authorized Official Name and Position | Lauren Lacute (OWNER) |
| Authorized Official Contact | 4402286290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Family Medical Center Po Box 294 Novi MI 48376-0294 Ph: () - | Mi Family Medical Center 23985 Novi Rd Ste B102 Novi MI 48375-5436 Ph: (248) 983-1130 |
| NPI Number | 1104536069 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 6103283114 |
|---|---|
| Medicare Enrollment ID | O20230607000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104536069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Emily B Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427292945 PECOS PAC ID: 9638328503 Enrollment ID: I20131023002253 |
| Provider Name | Lauren M Lacute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982049003 PECOS PAC ID: 3173827086 Enrollment ID: I20160902000076 |
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