| Auburn Clinic L.l.c. | |
|
38253 Ann Arbor Rd Livonia MI 48150-3432 | |
| (734) 464-9200 | |
| (734) 464-0017 |
| Full Name | Auburn Clinic L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 38253 Ann Arbor Rd, Livonia, Michigan |
| Authorized Official Name and Position | Richard Anthony Ozog (PHYSICIAN) |
| Authorized Official Contact | 7344649200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Clinic L.l.c. 38253 Ann Arbor Rd Livonia MI 48150-3432 Ph: (734) 464-9200 | Auburn Clinic L.l.c. 38253 Ann Arbor Rd Livonia MI 48150-3432 Ph: (734) 464-9200 |
| NPI Number | 1629116967 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629116967 | NPI | - | NPPES |
| 1682030-11 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RO008962 (Michigan) | Primary |
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