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Organization

COMPREHENSIVE FAMILY MEDICINE PLC

Active
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Organization

COMPREHENSIVE FAMILY MEDICINE PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA MARIE LUCAS- VOUGIOUKLAKIS D.O. (OWNER)
(734) 362-7100
Entity
Organization

Contact information

Practice address
5400 FORT ST, SUITE 130, TRENTON, MI 48183-4632
(734) 362-7100
(734) 671-1768
Mailing address
5400 FORT ST, SUITE 130, TRENTON, MI 48183-4632
(734) 362-7100
(734) 671-1768

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
5101016920
MI

Other

Enumeration date
12/20/2010
Last updated
12/20/2010
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