| Family Physician Group | |
|
15301 Tireman Ave Suite A Dearborn MI 48126-1045 | |
| (313) 736-5004 | |
| Not Available |
| Full Name | Family Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 15301 Tireman Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Maryam Mihtar (PRESIDENT) |
| Authorized Official Contact | 3137365004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physician Group 15301 Tireman Ave Suite A Dearborn MI 48126-1045 Ph: (313) 736-5004 | Family Physician Group 15301 Tireman Ave Suite A Dearborn MI 48126-1045 Ph: (313) 736-5004 |
| NPI Number | 1043600257 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043600257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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