Target | |
43670 Ford Rd Canton MI 48187-3101 | |
(734) 454-2507 | |
Not Available |
Full Name | Target |
---|---|
Speciality | Clinic/center - Community Health |
Location | 43670 Ford Rd, Canton, Michigan |
Authorized Official Name and Position | Amy Fortune (SUPERVISOR) |
Authorized Official Contact | 2485081393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Target 43670 Ford Rd Canton MI 48187-3101 Ph: () - | Target 43670 Ford Rd Canton MI 48187-3101 Ph: (734) 454-2507 |
NPI Number | 1962770172 |
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Provider Enumeration Date | 12/02/2011 |
Last Update Date | 12/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962770172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 5302033218 (Michigan) | Primary |
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