Unknown Individual – Family Medicine Physician, NPI 1659342970
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2200, Monroe Street, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481243058
Phone: (313) 562-6607
Fax: (313) 562-5851
Type: Location
46687, Red Oak Drive, Crestwood Manor, Northville Charter Township, Wayne County, Michigan, 48168, United States
NORTHVILLE, MI 481681861
Phone: (313) 562-0773
Fax: (313) 562-7565
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48124)
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Provider's Procedures
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