| West Bloomfield Family Practice | |
|
28455 Haggerty Rd Suite #100 Novi MI 48377-2982 | |
| (248) 553-2200 | |
| (248) 553-2201 |
| Full Name | West Bloomfield Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 28455 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Kevin G. Deighton (PRESIDENT) |
| Authorized Official Contact | 7344327581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Bloomfield Family Practice 17197 N Laurel Park Dr Suite 540 Livonia MI 48152-2680 Ph: (734) 853-4901 | West Bloomfield Family Practice 28455 Haggerty Rd Suite #100 Novi MI 48377-2982 Ph: (248) 553-2200 |
| NPI Number | 1750507729 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750507729 | NPI | - | NPPES |
| 080F323740 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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