Care Medical Clinic Of Canton PLLC
Family Medicine in Canton, MI. Organization (NPI-2).
NPI number1740780873
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1740780873
- Entity type
- Organization (NPI-2)
- Legal business name
- Care Medical Clinic Of Canton PLLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2018
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301082667 | MI | Yes |
Practice location
5730 N Lilley RdCanton, MI 48187-3685
Phone 218-410-1822
Mailing address
5730 N Lilley RdCanton, MI 48187-3685
Phone 218-410-1822
Authorized official
Paul Debrincat
Owner
2488940763
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