| Farmington Village Family Practice | |
|
28100 Grand River Ave Ste 313s Farmington Hills MI 48336-5970 | |
| (947) 521-7150 | |
| (248) 426-2473 |
| Full Name | Farmington Village Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 28100 Grand River Ave Ste 313s, Farmington Hills, Michigan |
| Authorized Official Name and Position | Lesley Willbrandt (DIRECTOR SHARED SERVICES) |
| Authorized Official Contact | 9475221911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Village Family Practice 26901 Beaumont Blvd Southfield MI 48033-3849 Ph: () - | Farmington Village Family Practice 28100 Grand River Ave Ste 313s Farmington Hills MI 48336-5970 Ph: (947) 521-7150 |
| NPI Number | 1871521153 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871521153 | NPI | - | NPPES |
| 3473334 | Medicaid | MI | |
| 080F321610 | Other | MI | BLUE CROSS |
| G4727F | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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