American Geritric Consultants LLC
Family Medicine, Geriatric Medicine in Livonia, MI. Organization (NPI-2).
NPI number1992703169
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992703169
- Entity type
- Organization (NPI-2)
- Legal business name
- American Geritric Consultants LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | 5101010694 | MI | Yes |
Practice location
28701 Plymouth RdLivonia, MI 48150-2335
Phone 734-427-9900 · Fax 313-561-0277
Mailing address
28701 Plymouth RdLivonia, MI 48150-2335
Phone 734-427-9900 · Fax 313-561-0277
Authorized official
Keith M Tobin
Owner/Physician
7344279900
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