| The Family Doctor | |
|
15501 Metropolitan Pkwy Suite 110 Clinton Twp MI 48036-1684 | |
| (586) 286-9720 | |
| (586) 286-3134 |
| Full Name | The Family Doctor |
|---|---|
| Speciality | Family Medicine |
| Location | 15501 Metropolitan Pkwy, Clinton Twp, Michigan |
| Authorized Official Name and Position | Tina Williams (OFFICE MANAGER) |
| Authorized Official Contact | 5862869720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Doctor 15501 Metropolitan Pkwy Suite 110 Clinton Twp MI 48036-1684 Ph: (586) 286-9720 | The Family Doctor 15501 Metropolitan Pkwy Suite 110 Clinton Twp MI 48036-1684 Ph: (586) 286-9720 |
| NPI Number | 1801084629 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 12/21/2016 |
| Medicare PECOS PAC ID | 1658337472 |
|---|---|
| Medicare Enrollment ID | O20041203000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801084629 | NPI | - | NPPES |
| 0E02201 | Other | MI | BLUE CROSS BLUE SHIELD |
| Provider Name | Keith C Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801830757 PECOS PAC ID: 0446216261 Enrollment ID: I20041207000267 |
| Provider Name | Claudia Monica Pop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861597858 PECOS PAC ID: 1759388010 Enrollment ID: I20061030000107 |
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