| Greenfield Family Practice Center Pllc | |
|
19141 Greenfield Rd Detroit MI 48235-6007 | |
| (313) 835-8500 | |
| (313) 835-3081 |
| Full Name | Greenfield Family Practice Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19141 Greenfield Rd, Detroit, Michigan |
| Authorized Official Name and Position | Anthony Harris (OWNER) |
| Authorized Official Contact | 3138358500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Family Practice Center Pllc Po Box 44047 Detroit MI 48244-0047 Ph: (313) 835-8500 | Greenfield Family Practice Center Pllc 19141 Greenfield Rd Detroit MI 48235-6007 Ph: (313) 835-8500 |
| NPI Number | 1053492983 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053492983 | NPI | - | NPPES |
| 080H20117 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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