| Spassova Medical Center Pllc | |
|
18770 Farmington Rd Suite 100 Livonia MI 48152-3292 | |
| (734) 284-6338 | |
| (734) 293-0985 |
| Full Name | Spassova Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18770 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Ganka Spassova (PRESIDENT) |
| Authorized Official Contact | 7342846338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spassova Medical Center Pllc 18770 Farmington Rd Suite 100 Livonia MI 48152-3292 Ph: (734) 284-6338 | Spassova Medical Center Pllc 18770 Farmington Rd Suite 100 Livonia MI 48152-3292 Ph: (734) 284-6338 |
| NPI Number | 1003351214 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003351214 | NPI | - | NPPES |
| 1053520148 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301086697 (Michigan) | Primary |
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