| South Lyon Family Physicians, Pllc | |
|
22024 Pontiac Trl South Lyon MI 48178-9410 | |
| (248) 437-2525 | |
| (248) 437-2526 |
| Full Name | South Lyon Family Physicians, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 22024 Pontiac Trl, South Lyon, Michigan |
| Authorized Official Name and Position | Patrick R Brennan (OWNER) |
| Authorized Official Contact | 2484372525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lyon Family Physicians, Pllc 22024 Pontiac Trl South Lyon MI 48178-9410 Ph: (248) 437-2525 | South Lyon Family Physicians, Pllc 22024 Pontiac Trl South Lyon MI 48178-9410 Ph: (248) 437-2525 |
| NPI Number | 1518004084 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518004084 | NPI | - | NPPES |
| 5101014989 | Other | MI | STATE LICENSE |
| 5633697 | Other | MI | BLUE CROSS |
| 5101005444 | Other | MI | STATE LICENSE |
| 5631170 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101014989 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 5101005444 (Michigan) | Secondary |
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4-serv Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51619 Ten Mile Rd, South Lyon, MI 48178 Phone: 248-437-6300 | |
Hpc Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22990 Pontiac Trl, South Lyon, MI 48178 Phone: 248-865-7481 | |
South Lyon Family Docs Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26006 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-5613 Fax: 248-437-5694 | |
Designed Altobaric Technology Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21800 Pontiac Trl, South Lyon, MI 48178 Phone: 248-486-3636 | |
Iha South Lyon Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23200 Pontiac Trl Ste 100, South Lyon, MI 48178 Phone: 248-446-2935 Fax: 248-446-2936 |