| Golden Family Practice Pllc | |
|
23463 E Scott Blvd Clinton Township MI 48036-3155 | |
| (734) 945-0482 | |
| Not Available |
| Full Name | Golden Family Practice Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 23463 E Scott Blvd, Clinton Township, Michigan |
| Authorized Official Name and Position | Brandi Nicole Basket (OWNER) |
| Authorized Official Contact | 7349450482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Family Practice Pllc 23463 E Scott Blvd Clinton Township MI 48036-3155 Ph: (734) 945-0482 | Golden Family Practice Pllc 23463 E Scott Blvd Clinton Township MI 48036-3155 Ph: (734) 945-0482 |
| NPI Number | 1346690245 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 01/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346690245 | NPI | - | NPPES |
| 1437478070 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 510108586 (Michigan) | Primary |
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