Physician Group | |
4870 W Clark Rd Ste 100a Ypsilanti MI 48197-1104 | |
(734) 444-4063 | |
(734) 418-2774 |
Full Name | Physician Group |
---|---|
Speciality | General Practice |
Location | 4870 W Clark Rd, Ypsilanti, Michigan |
Authorized Official Name and Position | Aisha Ashfaq (OWNER) |
Authorized Official Contact | 7344444063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Physician Group 4870 W Clark Rd Ste 100 A Ypsilanti MI 48197-1104 Ph: (734) 444-4063 | Physician Group 4870 W Clark Rd Ste 100a Ypsilanti MI 48197-1104 Ph: (734) 444-4063 |
NPI Number | 1740509116 |
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Provider Enumeration Date | 05/25/2010 |
Last Update Date | 10/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740509116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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