| Livonia Family Medical | |
|
28701 Plymouth Rd Livonia MI 48150-2335 | |
| (734) 427-9900 | |
| (734) 427-8963 |
| Full Name | Livonia Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 28701 Plymouth Rd, Livonia, Michigan |
| Authorized Official Name and Position | Hollie Howell (MEDICAL BILLER) |
| Authorized Official Contact | 7344279900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livonia Family Medical 28701 Plymouth Rd Livonia MI 48150-2335 Ph: (734) 427-9900 | Livonia Family Medical 28701 Plymouth Rd Livonia MI 48150-2335 Ph: (734) 427-9900 |
| NPI Number | 1316084395 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284738873 |
|---|---|
| Medicare Enrollment ID | O20070410000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316084395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010694 (Michigan) | Primary |
| Provider Name | Heidi Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396856118 PECOS PAC ID: 1456331453 Enrollment ID: I20040721000803 |
| Provider Name | Michael G Burry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256821 PECOS PAC ID: 1850351586 Enrollment ID: I20041015000899 |
| Provider Name | Keith M Tobin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083611560 PECOS PAC ID: 3678542008 Enrollment ID: I20041020000928 |
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