# FIRST IDEAL ENTERPRISES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ideal Home Physicians PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740478270
- **Authorized official:** DR. ADEKUNLE EMMANUEL OSHIYOYE M.D. (CEO)
- **Authorized official phone:** (248) 440-0920

## Contact information

- **Practice address:** 21700 NORTHWESTERN HWY, SUITE 801, SOUTHFIELD, MI 48075-4906
- **Practice address phone:** (248) 440-0920
- **Practice address fax:** (248) 440-0929
- **Mailing address:** PO BOX 251062, W BLOOMFIELD, MI 48325-1062
- **Mailing address phone:** (248) 440-0920
- **Mailing address fax:** (248) 440-0929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | AO060924 | MI | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 04/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0F33532 | BLUE CROSS BLUE SHIELD | MI |