| Plymouth Canton Medical Center | |
|
7321 N Lilley Rd Canton MI 48187-2457 | |
| (734) 459-0700 | |
| (734) 459-1019 |
| Full Name | Plymouth Canton Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7321 N Lilley Rd, Canton, Michigan |
| Authorized Official Name and Position | Daniel Tuason Deguzman (PRESIDENT) |
| Authorized Official Contact | 7344590700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Canton Medical Center 7321 N Lilley Rd Canton MI 48187-2457 Ph: (734) 459-0700 | Plymouth Canton Medical Center 7321 N Lilley Rd Canton MI 48187-2457 Ph: (734) 459-0700 |
| NPI Number | 1942391768 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942391768 | NPI | - | NPPES |
| 01-08282852 | Other | MI | BCBS PROVDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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