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Organization
NEW FAITH MEDICAL CENTER
Active
Organization
NEW FAITH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMITKO MOORE (OWNER)
(313) 539-4840
Entity
Organization
Contact information
Practice address
28200 7 MILE RD, SUITE 207, LIVONIA, MI 48152-3794
(313) 539-4840
Mailing address
28200 7 MILE RD, SUITE 207, LIVONIA, MI 48152-3794
(313) 539-4840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801092021
MI
1041C0700X
Clinical Social Worker
—
MI
207R00000X
Internal Medicine Physician
Primary
4301043030
MI
363AM0700X
Medical Physician Assistant
5601002272
MI
Other
Enumeration date
08/25/2014
Last updated
09/16/2014
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