Macomb Family Medical Center | |
16800 24 Mile Rd Suite 4 Macomb Twp MI 48042 | |
(586) 992-9970 | |
(586) 992-9972 |
Full Name | Macomb Family Medical Center |
---|---|
Speciality | Family Medicine |
Location | 16800 24 Mile Rd, Macomb Twp, Michigan |
Authorized Official Name and Position | Alan P Peter (OWNER PRESIDENT) |
Authorized Official Contact | 5869929970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Macomb Family Medical Center 16800 24 Mile Rd Suite 4 Macomb Twp MI 48042 Ph: (586) 992-9970 | Macomb Family Medical Center 16800 24 Mile Rd Suite 4 Macomb Twp MI 48042 Ph: (586) 992-9970 |
NPI Number | 1174625420 |
---|---|
Provider Enumeration Date | 09/05/2006 |
Last Update Date | 12/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174625420 | NPI | - | NPPES |
0E02052 | Other | MI | BCBS GROUP PIN |
114933018 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101014745 (Michigan) | Primary |