| Conant Family Care Pllc | |
|
3611 Carpenter St Ste 5 Detroit MI 48212-2784 | |
| (917) 588-1632 | |
| Not Available |
| Full Name | Conant Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3611 Carpenter St Ste 5, Detroit, Michigan |
| Authorized Official Name and Position | Masuda Poli (OWNER) |
| Authorized Official Contact | 9175881632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conant Family Care Pllc 3611 Carpenter St Ste 5 Detroit MI 48212-2784 Ph: () - | Conant Family Care Pllc 3611 Carpenter St Ste 5 Detroit MI 48212-2784 Ph: (917) 588-1632 |
| NPI Number | 1205339306 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205339306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301073086 (Michigan) | Primary |
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