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1600 S Canton Center Rd Ste 1200 Canton MI 48188-1992 | |
| (734) 398-7880 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 S Canton Center Rd Ste 1200, Canton, Michigan |
| Authorized Official Name and Position | Cynthia Elliott (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7347476766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24 Frank Lloyd Wright Dr P.o, Box 0446, Lobby J Ann Arbor MI 48105-9484 Ph: () - | 1600 S Canton Center Rd Ste 1200 Canton MI 48188-1992 Ph: (734) 398-7880 |
| NPI Number | 1134458086 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134458086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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