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Organization
SUPERIOR FAMILY MEDICINE CLINIC PC
Active
Organization
SUPERIOR FAMILY MEDICINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIRA G COUMARBATCH MD (OWNER)
(313) 247-7270
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 489, SOUTHFIELD, MI 48075-3740
(248) 395-6312
(248) 395-6314
Mailing address
PO BOX 47068, OAK PARK, MI 48237-4768
(313) 247-7270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2009
Last updated
07/21/2022
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