| Metro Family Clinic | |
|
19953 Conant St Detroit MI 48234-1334 | |
| (313) 366-1115 | |
| (313) 366-1116 |
| Full Name | Metro Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 19953 Conant St, Detroit, Michigan |
| Authorized Official Name and Position | Thulasi Swarna Latha Divi (PRESIDENT) |
| Authorized Official Contact | 3133661115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Family Clinic 19953 Conant St Detroit MI 48234-1334 Ph: (313) 366-1115 | Metro Family Clinic 19953 Conant St Detroit MI 48234-1334 Ph: (313) 366-1115 |
| NPI Number | 1699080002 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699080002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301062122 (Michigan) | Primary |
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