Home Physician Services Pc | |
17520 W 12 Mile Rd Ste 109 Southfield MI 48076-1907 | |
(248) 228-8654 | |
(248) 228-8656 |
Full Name | Home Physician Services Pc |
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Speciality | General Practice |
Location | 17520 W 12 Mile Rd Ste 109, Southfield, Michigan |
Authorized Official Name and Position | Sonjai Poonpanij (OWNER) |
Authorized Official Contact | 2487431099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Home Physician Services Pc 17520 W 12 Mile Rd Ste 109 Southfield MI 48076-1907 Ph: (248) 228-8654 | Home Physician Services Pc 17520 W 12 Mile Rd Ste 109 Southfield MI 48076-1907 Ph: (248) 228-8654 |
NPI Number | 1346347523 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 03/08/2010 |
Identifier | Type | State | Issuer |
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1346347523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 4301032562 (Michigan) | Primary |
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