| Motown Residential Physician Pllc | |
|
852 Cedargate Ct Waterford MI 48328-2606 | |
| (248) 659-7576 | |
| Not Available |
| Full Name | Motown Residential Physician Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 852 Cedargate Ct, Waterford, Michigan |
| Authorized Official Name and Position | Linda Evans (BILLING/CREDENTIALING) |
| Authorized Official Contact | 2484766385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Motown Residential Physician Pllc 852 Cedargate Ct Waterford MI 48328-2606 Ph: (248) 659-7576 | Motown Residential Physician Pllc 852 Cedargate Ct Waterford MI 48328-2606 Ph: (248) 659-7576 |
| NPI Number | 1053647131 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053647131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 023784 (Michigan) | Primary |
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