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Organization

HERITAGE MEDICAL CLINIC PPLC

Active
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Organization

HERITAGE MEDICAL CLINIC PPLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALAYAT KHAN (OWNER)
(734) 483-9474
Entity
Organization

Contact information

Practice address
1159 E MICHIGAN AVE STE E, YPSILANTI, MI 48198-5807
(734) 483-9474
(734) 483-9464
Mailing address
1159 E MICHIGAN AVE STE E, YPSILANTI, MI 48198-5807
(734) 483-9474
(734) 483-9464

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—

Other

Enumeration date
09/13/2010
Last updated
10/19/2010
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