# GRATIOT FAMILY MEDICINE CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588152581
- **Authorized official:** DARWISH OMAR DARWISH MD (PRESIDENT)
- **Authorized official phone:** (248) 646-0306

## Contact information

- **Practice address:** 19925 VERNIER RD, HARPER WOODS, MI 48225-1486
- **Practice address phone:** (313) 245-1400
- **Mailing address:** 19925 VERNIER RD, HARPER WOODS, MI 48225-1486
- **Mailing address phone:** (313) 245-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301059173 | MI | Yes |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 04/25/2018