| Physician In-home Services, Pc | |
|
1415 Broadway Blvd Flint MI 48506-3530 | |
| (810) 239-7684 | |
| (810) 239-4921 |
| Full Name | Physician In-home Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1415 Broadway Blvd, Flint, Michigan |
| Authorized Official Name and Position | Linval Keith Fleetwood (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8102397684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician In-home Services, Pc 1415 Broadway Blvd Flint MI 48506-3530 Ph: (810) 239-7684 | Physician In-home Services, Pc 1415 Broadway Blvd Flint MI 48506-3530 Ph: (810) 239-7684 |
| NPI Number | 1013939073 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013939073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LF034519 (Michigan) | Primary |
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