# FAMLY MEDICAL CENTER OF MICHIGAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medical Center Lenawee Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639421035
- **Authorized official:** MR. ED LARKINS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (734) 850-6914

## Contact information

- **Practice address:** 8765 LEWIS AVE, TEMPERANCE, MI 48182-9583
- **Practice address phone:** (734) 847-3802
- **Practice address fax:** (734) 850-0520
- **Mailing address:** 128 S BROAD ST, ADRIAN, MI 49221-2723
- **Mailing address phone:** (517) 266-0651
- **Mailing address fax:** (517) 266-8476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | MI | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 10/09/2012