Residential Drs, PC
Family Medicine in Oak Park, MI. Organization (NPI-2).
NPI number1982156790
StatusActive
Last updated in NPPESOct 27, 2016
Details
- NPI
- 1982156790
- Entity type
- Organization (NPI-2)
- Legal business name
- Residential Drs, PC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2016
- Last updated
- Oct 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101006874 | MI | Yes |
Practice location
25900 Greenfield Rd415
Oak Park, MI 48237-1292
Phone 248-281-3799
Mailing address
25900 Greenfield Rd415
Oak Park, MI 48237-1292
Phone 248-281-3799
Authorized official
Rachele Smith
Manager
2482813799
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