Organization · NPI-2

A1 Family Medicine PLLC

Family Medicine · Canton, MI

NPI number1154012284
StatusActive
Last updated in NPPESNov 7, 2023

Details

NPI
1154012284
Entity type
Organization (NPI-2)
Legal business name
A1 Family Medicine PLLC
Organization subpart
No
Enumeration date
May 18, 2023
Certification date
Nov 7, 2023
Last updated
Nov 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2050 N Haggerty Rd Ste 140
Canton, MI 48187-3796

Phone 734-519-5156 · Fax 734-519-5166

Mailing address

2050 N Haggerty Rd Ste 140
Canton, MI 48187-3796

Phone 734-519-5156 · Fax 734-519-5166

Authorized official

Purvi Dharia
Owner
7345195156

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