| Henry Ford West Bloomfield Physicians | |
|
2335 S Commerce Rd Walled Lake MI 48390-2136 | |
| (248) 624-1526 | |
| (248) 624-9570 |
| Full Name | Henry Ford West Bloomfield Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 2335 S Commerce Rd, Walled Lake, Michigan |
| Authorized Official Name and Position | Frank L Fenton (PHYSICIAN) |
| Authorized Official Contact | 2486241526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford West Bloomfield Physicians 2335 S Commerce Rd Walled Lake MI 48390-2136 Ph: (248) 624-1526 | Henry Ford West Bloomfield Physicians 2335 S Commerce Rd Walled Lake MI 48390-2136 Ph: (248) 624-1526 |
| NPI Number | 1689658221 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689658221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | FF007946 (Michigan) | Primary |
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