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Organization
FIRST IDEAL ENTERPRISES INC.
Active
Organization
FIRST IDEAL ENTERPRISES INC.
Active
Other names
IDEAL HOME PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE OSHIYOYE (ADMINISTRATOR)
(248) 440-0920
Entity
Organization
Contact information
Practice address
29430 MARIMOOR DR, SOUTHFIELD, MI 48076-5237
(248) 440-0920
(248) 440-0292
Mailing address
29430 MARIMOOR DR, SOUTHFIELD, MI 48076-5237
(248) 440-0920
(248) 440-0292
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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