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Organization
VANGUARD FAMILY HEALTH CARE PC
Active
Organization
VANGUARD FAMILY HEALTH CARE PC
Active
Other names
Vanguard Family Healt h Care, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA POPOFF (SECRETARY)
(313) 824-1000
Entity
Organization
Contact information
Practice address
10809 MACK AVE, DETROIT, MI 48214-2119
(313) 824-1000
(313) 824-9000
Mailing address
10809 MACK AVE, DETROIT, MI 48214-2119
(313) 824-1000
(313) 824-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MP005908
MI
213E00000X
Podiatrist
JB002247
MI
Other
Enumeration date
02/05/2007
Last updated
08/07/2015
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