| Vanguard Family Healt H Care, Pllc | |
|
10809 Mack Ave Detroit MI 48214-2119 | |
| (313) 824-1000 | |
| (313) 824-9000 |
| Full Name | Vanguard Family Healt H Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10809 Mack Ave, Detroit, Michigan |
| Authorized Official Name and Position | Linda Popoff (SECRETARY) |
| Authorized Official Contact | 3138241000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Family Healt H Care, Pllc 10809 Mack Ave Detroit MI 48214-2119 Ph: (313) 824-1000 | Vanguard Family Healt H Care, Pllc 10809 Mack Ave Detroit MI 48214-2119 Ph: (313) 824-1000 |
| NPI Number | 1194864462 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194864462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MP005908 (Michigan) | Primary |
| 213E00000X | Podiatrist | JB002247 (Michigan) | Secondary |
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