| Legacy Family Care Pllc | |
|
23800 Orchard Lake Rd Ste 202 Farmington Hills MI 48336-2562 | |
| (248) 997-5964 | |
| Not Available |
| Full Name | Legacy Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 23800 Orchard Lake Rd Ste 202, Farmington Hills, Michigan |
| Authorized Official Name and Position | Samuel Park (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7347173926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Care Pllc 2952 Squire Ct Troy MI 48098-6211 Ph: (248) 763-6037 | Legacy Family Care Pllc 23800 Orchard Lake Rd Ste 202 Farmington Hills MI 48336-2562 Ph: (248) 997-5964 |
| NPI Number | 1841000361 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841000361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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