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Organization
FARMINGTON HILLS MEDICAL CENTER, PC
Active
Organization
FARMINGTON HILLS MEDICAL CENTER, PC
Active
Other names
Farmington Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JACOB PATTY PHD (CEO)
(248) 626-0199
Entity
Organization
Contact information
Practice address
30840 NORTHWESTERN HWY, SUITE 110, FARMINGTON HILLS, MI 48334-2552
(248) 626-0199
Mailing address
3316 PARKLAND DR, WEST BLOOMFIELD, MI 48322-1828
(248) 626-6345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F32080
BCBSM
MI
01
—
DD5259
MEDICARE RR
MI
Enumeration date
06/04/2006
Last updated
09/11/2025
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