Organization
DEARBORN FAMILY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA S SHANNON (OFFICE MANAGER)
(313) 565-6566
Entity
Organization
Contact information
Practice address
3133 S TELEGRAPH RD, DEARBORN, MI 48124-3472
(313) 565-6566
(313) 561-5554
Mailing address
3133 S TELEGRAPH RD, DEARBORN, MI 48124-3472
(313) 565-6566
(313) 561-5554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HW007561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1387925
—
MI
05
—
4622742
—
MI
Enumeration date
08/11/2006
Last updated
10/16/2022
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