| Warren Family Practice, Pllc | |
|
26000 Hoover Rd Ste 105 Warren MI 48089-1167 | |
| (586) 722-0998 | |
| (586) 806-5347 |
| Full Name | Warren Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 26000 Hoover Rd Ste 105, Warren, Michigan |
| Authorized Official Name and Position | Norman Salem (PHYSICAN/OWNER) |
| Authorized Official Contact | 2489047229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Family Practice, Pllc 26000 Hoover Rd Ste 105 Warren MI 48089-1167 Ph: (586) 722-0998 | Warren Family Practice, Pllc 26000 Hoover Rd Ste 105 Warren MI 48089-1167 Ph: (586) 722-0998 |
| NPI Number | 1689169542 |
|---|---|
| Provider Enumeration Date | 06/24/2018 |
| Last Update Date | 06/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689169542 | NPI | - | NPPES |
| 1013270362 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301108617 (Michigan) | Primary |
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