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1200 N Telegraph Rd Building 87 Pontiac MI 48341-1032 | |
| (248) 724-7435 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1200 N Telegraph Rd, Pontiac, Michigan |
| Authorized Official Name and Position | Debra Brinson (CEO) |
| Authorized Official Contact | 2487247600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 430150 Pontiac MI 48343-0150 Ph: (248) 724-7600 | 1200 N Telegraph Rd Building 87 Pontiac MI 48341-1032 Ph: (248) 724-7435 |
| NPI Number | 1003206038 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003206038 | NPI | - | NPPES |
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