| Self-reliance | |
|
1161 Stacy Dr Canton MI 48188-1426 | |
| (313) 740-5358 | |
| Not Available |
| Full Name | Self-reliance |
|---|---|
| Speciality | Family Medicine |
| Location | 1161 Stacy Dr, Canton, Michigan |
| Authorized Official Name and Position | Lucinda Pryor (OWNER) |
| Authorized Official Contact | 3137405358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self-reliance 1161 Stacy Dr Canton MI 48188-1426 Ph: () - | Self-reliance 1161 Stacy Dr Canton MI 48188-1426 Ph: (313) 740-5358 |
| NPI Number | 1326622663 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326622663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251J00000X | Nursing Care | (* (Not Available)) | Secondary |
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