# FREEDOM MEDICAL CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREEDOM MEDICAL CLINIC PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548474315
- **Legal business name:** FREEDOM MEDICAL CLINIC PC
- **Authorized official:** WENDY KATHERINE COOK (OFFICE MANAGER)
- **Authorized official phone:** (248) 476-4724

## Contact information

- **Practice address:** 20206 FARMINGTON RD, LIVONIA, MI 48152-1412
- **Practice address phone:** (248) 476-4724
- **Mailing address:** 20206 FARMINGTON RD, LIVONIA, MI 48152-1412
- **Mailing address phone:** (248) 476-4724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 01/04/2011